What do you mean by rationales as curriculum?

Questions must be followed by rationales. It does the student no good to simply be told that she chose the wrong answer; it's important to understand how to find the right answer. Rationales should enrich the established curriculum. Proper rationales will be a detailed narrative telling the story of how to come to the correct answer. What follows are examples of acceptable rationales:

  • Shortness of breath is documented. However, SOB is a common symptom associated with pneumothorax, and ICD-10-CM Official Coding Guidelines state, "Signs and symptoms that are integral to the disease process should not be assigned as additional codes, unless otherwise instructed by the classification."

  • When the cardiologist schedules an angioplasty, atherectomy, or stent procedure, it is usually based on a prior diagnostic cardiac catheterization. In these situations, it is not appropriate to code for a repeat diagnostic test. To be clear, it would not be appropriate to separately report catheter placement (93508 or 93510) or diagnostic coronary angiography (93545 and 93556) at the time of an elective coronary intervention.

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