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Thread: Secondary diagnoses

  1. #1

    Default Secondary diagnoses

    AAPC: Back to School
    I am always confused about secondary diagnosis coding. I have the CCs rule related to coding secondary diagnoses when they are listed as a symptom followed by comparative/contrasting diagnoses. However, what about a secondary diagnosis listed as "chest pain, rule out angina" or "dysphagia and slurred speech, rule out CVA"??

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    If you are billing physician or outpatient you cannot code rule out dx you code only the symptoms.

    Debra A. Mitchell, MSPH, CPC-H

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