I would go to the doctor ICD-9 code book in hand and explain to the doctor which codes I think it should be and explain to him/her why I believe they should be these codes based on the documentation. A lot of times the providers are not aware that their is a code as specific. It goes back to provider eduation. I have instructed my providers to hand write the diagnosis for me instead of circling them on the encounter so we can code it to the highest level of certainty. At the end of the day it is the provider's decision as to the codes selected. If the provider does not want to change the codes I would document that somewhere and have the provider initial it so this way it doesn't come back to you.
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