Results 1 to 2 of 2

EHR No Definitive DX

  1. #1
    Default EHR No Definitive DX
    Medical Coding Books
    For one of the EHR systems I code for the provider picks their dx (and the code is attached). How would you assign the ICD-9 codes if the provider chose a code for pnumonia & bronchitis, and then as a side note wrote "not clear if its bronchitis or pneumonia". ICD-9 guidlines state to code signs and symptoms if the provider does not make a definitive diagnosis. Would you replace the chosen DX with signs and symptoms?

  2. #2
    Default
    Quote Originally Posted by nscoder View Post
    For one of the EHR systems I code for the provider picks their dx (and the code is attached). How would you assign the ICD-9 codes if the provider chose a code for pnumonia & bronchitis, and then as a side note wrote "not clear if its bronchitis or pneumonia". ICD-9 guidlines state to code signs and symptoms if the provider does not make a definitive diagnosis. Would you replace the chosen DX with signs and symptoms?
    Absolutely!
    Mickie Kummer, CPC, CPMA, CRC, CPC-I, AAPC Fellow

Similar Threads

  1. Definitive vs. Rule Out, Suspected, Etc.
    By suemt in forum Diagnosis Coding
    Replies: 0
    Last Post: 04-14-2015, 04:26 PM
  2. Adding a definitive diagnosis
    By tmlarson1971 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-15-2014, 11:25 AM
  3. Definitive Fracture care-21800
    By cimedicine in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-31-2012, 10:37 AM
  4. Coding Ovarian Mass not definitive for CA
    By mouchjl in forum Diagnosis Coding
    Replies: 2
    Last Post: 06-18-2012, 10:20 AM
  5. Definitive Care coding in the ED
    By cgulledg in forum Orthopaedics
    Replies: 0
    Last Post: 03-25-2010, 09:38 AM

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?

Login

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.