Is there a source for guidance when counting the "Number of Diagnosis or Managment Options"? I bill inpatient and usually have the #of problem diagnosis codes....dm, htn, chf, esrd etc and can reach to either multiple or extensive, and do not need to count the manangement options. I am told that I should be counting "V" codes as well for the management option. Mainly this would help with established problems for subsequent day billing where I would code low.

Appreciate any help,