tci Medicare Compliance & Reimbursement - 2007 Issue 17

ED CODING: Knowing Where To Look Can Provide All The Info For Proper Coding

Rely on physician's notes when selecting Dx codes.Incomplete documentation greatly damages coders' ability to submit accurate ICD-9 codes on their insurance claims. If the ED physician fails to indicate the diagnosis that he treated, you may be able to deduce what diagnosis codes apply by carefully reading through his documentation. Check out these tips you may be able to use to deduce the proper ICD-9 code on some op reports. Open The Notes--Even When You Don't Have To Suppose your physician hands you a chart with the procedures noted and the diagnosis written as "rule out fracture."...

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