AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; Ask the Editor

Omitting ICD-10-CM Codes

Coding Clinic, Fourth Quarter 2016, page 149, states “A facility may require that a physician use a particular clinical definition or set of criteria when establishing a diagnosis”. Would it be appropriate for facilities to develop a policy to omit a diagnosis code based on the provider’s documentation not meeting established criteria? ...

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