tci ED Coding & Reimbursement Alert - 2002 Issue 10

Coders Have One Profession, Two Sets of Guidelines

Nowhere is the debate over billing for signs and symptoms more apparent than in the ED where "coders have to realize that while a physician coder and a hospital coder technically belong to the same profession, the two types of coding are completely different," says Todd Thomas, CPC, CCS-P, president of Thomas & Associates in Oklahoma City.Sharks Versus Jets? Physician coders are typically taught to code signs and symptoms first. The Federal Register (March 4, 1994, Section 42 CFR Part 424) has enjoined coders to "list first the code for the diagnosis, condition, problem, or other reason...

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