I have come across a lot of these situations myself being an ER coder and it is frustrating to not be able to code a lab result after the fact, but as far as my interpretation of the coding guidelines, you can not code it unless the physician has confirmed it at the time you are coding the chart. Under section IV in the guidelines, under L., it states:
"For outpatient encounters for diagnostic tests that have been interpreted by a physician, and the final report is available at the time of coding, code any confirmed or definitive diagnosis(es) documented in the interpretation."
which would leave me to believe that if it isn't confirmed at the time of coding, then you can not use it. I, myself, do count the labs under this type of guideline as well as the xrays, EKG's. Other interpretations may vary, but this is how I do it
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