Results 1 to 2 of 2

Billable Dx W/O Treatment Plan?

  1. #1
    Overland Park, KS
    Default Billable Dx W/O Treatment Plan?
    Medical Coding Books
    This may sound like a dumb question (as most of mine usually are!), but can a provider bill a dx without a treatment plan? For example: A patient is seen and diagnosed with Dysuria, Otitis media and strep Pharyngitis. There is a plan of treatment documented for the pharyngitis (i.e. prescription meds, lab procedure results, etc), but nothing listed for the dysuria and OM. Are the billable?

    I'm pretty certain that the dx billed have to either be addressed or at least relevent to the encounter, but there is a provider questioning this.

    Any thoughts?
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

  2. #2
    Overland Park, KS
    Any CMS guidance?
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

Similar Threads

  1. Plan of Care & Physician Plan of Treatment
    By lmfort in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 08-13-2015, 10:45 AM
  2. Billable Dx without Treatment Plan?
    By dballard2004 in forum Diagnosis Coding
    Replies: 3
    Last Post: 12-20-2010, 06:13 AM
  3. Psychiatric Treatment Plan/Recovery Plan/Care of Plan
    By rnakahara in forum Employment General Discussion
    Replies: 1
    Last Post: 07-17-2009, 03:00 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.