tci ED Coding & Reimbursement Alert - 2004 Issue 3

Win the Battle: Diagnoses Versus Signs and Symptoms

When reporting each is appropriateYou've heard the story both ways: Some coders say reporting signs and symptoms in addition to a primary diagnosis is perfectly legitimate, while others think the definitive diagnosis should be the only word. Answer your tough diagnosis questions with these expert opinions. Add Details to Your Story Many coders believe that if your physician issues a final diagnosis, you should not report the associated signs and symptoms, because they think you're asking for extra reimbursement. But others disagree. "Signs and symptoms are appropriate to use, even if a definitive diagnosis is stated," says Robert...

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