tci ED Coding & Reimbursement Alert - 2020 Issue Q4

ICD-10: Get to the Bottom of Excludes1 Note Confusion With This Definitive Rule

New guidelines clarify previously murky area. Diagnosis coding can take years to master, and part of the reason for that is because the ICD-10-CM code book has so many nuances. Chief among them is the Excludes1 parenthetical note, which is typically among the last of these concepts to “click” for beginning coders. That’s partly because, up until recently, there were no clear instructions on whether you should report the tabular code or the code included in the parenthetical note. “Coding Excludes1 notes has been a controversial topic among many hospitals and practices due to a lack...

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