this is not a government mandate. It is how this vendor has created this particular software, or how this consultant feels things should be done, but only if your office agrees that this is the best way. If you thing getting the correct dx code is hard with ICD-9 CM, then wait for ICD-10 CM! While it is not hard to learn, ICD-10 CM has some particular quirks that requires close attention. There is no way the computer can pick the correct code given the number of choices and the way the providers word the diagnosis and the procedures. A coder may change any dx code submitted by the provider as long as the providers documentation and coding guidelines are being used for code selection.
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