AHA Coding Clinic® for ICD-9 - 2011 Issue 1; Ask the Editor

Other Borderline Diagnoses

How should other borderline conditions be coded? Are borderline diagnoses handled in the same way as uncertain diagnosis (e.g., possible, probable, suspected, and questionable)? For example, the provider documents “borderline pulmonary hypertension” based on echocardiography findings, would this be coded as pulmonary hypertension in the inpatient setting and as an abnormal finding on echocardiogram in the outpatient setting? ...

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