AAPC - Back to school
Results 1 to 4 of 4

Thread: Dx coding definitive dx and signs and symptoms

  1. #1
    Join Date
    Apr 2007

    Question Dx coding definitive dx and signs and symptoms

    AAPC: Back to School

    I need some help!! We are in a hot debate at work about coding signs and symptoms when a definitive dx has been established.....

    Ex: say a pt came in with fever,cough and runny nose the Physician coded Upper Respiratory Infection, can you also code the cough if needed.....

    The ICD-9 book says no, quite a few seminar instructors say yes.... Any thoughts?....
    Last edited by fender1921; 02-13-2012 at 04:40 PM. Reason: Wrong forum

  2. #2


    When there is a definitive diagnosis, then you would not code the signs and symptoms

  3. #3
    Join Date
    Apr 2007
    Nashville AAPC Chapter


    Although the ICD-9 book says do not code signs and symptoms, follow the direction of the company you are billing for. They may have reasons for including signs or symptoms.

    Based on personal experience I had an employer that had payor's who wanted signs and symptoms listed first, with the difinitive Dx listed last before they would pay for encounters. It's how they justified the medical necessity.

    Just an FYI.

  4. #4
    Join Date
    Apr 2007
    Columbia, MO


    We follow coding guidelines and they say to not code the symptoms with the definitive dx unless the documentation supports that the symptoms relate to something yet undiagnosed. So list one or the other but not both.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. coding symptoms and definitive diagnosis
    By yuriko.juarez@yahoo.com in forum Diagnosis Coding
    Replies: 5
    Last Post: 11-07-2014, 10:47 AM
  2. Coding inconclusive dx vs. signs and symptoms
    By jojogi in forum Pathology & Clinical Laboratory
    Replies: 2
    Last Post: 05-22-2013, 10:06 AM
  3. Coding definitive dx and signs and symptoms
    By fender1921 in forum Diagnosis Coding
    Replies: 5
    Last Post: 02-14-2012, 04:06 PM
  4. Associated signs/symptoms
    By michiboo in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-10-2010, 02:26 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.