tci Part B Insider - 2013 Issue 35

Diagnosis Coding: No Dx Code on Claim? Find It Yourself With These 3 Tips

Coders may need to delve into the doctors’ notes to find diagnoses. If you’re presented with an incomplete superbill, you don’t have to say goodbye to reimbursement. In reality, if the doctor in your office fails to indicate the ICD-9 code for the condition that he treated, you should read through his documentation to find which diagnoses you should report. Open the Notes When You Have to — and Even When You Don’t Suppose your physician hands you a superbill with the procedures circled and the diagnosis left blank. You could ask the physician which diagnosis...

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