Code to the highest specificity. SO if there is an injury that resulted in a hematoma code the hematoma- not the 900 code. It would be the more appropriate code. IN the abdominal pain case the doctor would have to state the IBS is causing the pain to be able to use it. If the doctor doesn't state that then you can't use it just because it is listed in the past history since it might not be the cause of the pain this time. YOu can only code the pain. Also remember that you can't code questionable diagnosis on ER since they are still outpatients
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