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Thread: Rule Out

  1. #1

    Thumbs up Rule Out

    AAPC: Back to School
    Pt is coming in for glucose test to rule out hypoglacemia. can we use v71.9 for diag I know we can not code "possible", but we are trying to rule out the diag.

    V71.9 Observation for unspecified suspected condition



  2. #2
    Join Date
    Apr 2007
    Seacoast- Dover New Hampshire


    Is there an abnormal fasting glucose? What are the signs and symptoms?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #3
    Join Date
    Apr 2007
    Kokomo, IN

    Default rule out

    ICD-9-CM 2009 coding guidelines page 25 section I Uncertain diagnosis:

    Do not code diagnoses documented as "probable", "suspected", "questionable", "rule out", or "working diagnosis" or other similar terms indicating uncertainty. Rather, code the condition(s) to the highest degree of certainty for that encounter/visit, such as symptoms, signs, abnormal test results, or other reason for the visit. Please note: this differs from teh coding practices used by short-term, acute care, long-term care and psychiatric hospitals.

    So, according to the coding guidelines, you should not code a rule out diagnosis. I would get further clarification. Why did they come in? Dizziness? Diaphoresis? There has to be some reason they suspect they are hypoglycemic? That's what I would code.
    Anyone else?

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