tci General Surgery Coding Alert - 2019 Issue 5

ICD-10 Essentials: Heed Excludes1 Notes For Clean Claims

Turn to the latest Coding Clinic for clarification. Maybe you groan when you turn to an ICD-10-CM code and spot an Excludes1 note. You know the note means you’ll have to dig deeper to code the case correctly, but if you don’t really know how, you’re in good company. “Coding Excludes1 notes has been a controversial topic among many hospitals and practices due to a lack of definitive guidelines,” says Lindsay Della Vella, COC, medical coding auditor at Precision Healthcare Management in Media, Pennsylvania. Good news: “Now, there’s a new Coding Clinic ...

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