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EM Coding Alert

Diagnosis Coding:

Scour the Documentation for a Solid Diagnosis When Your Provider Forgets to Pick One

When in doubt, go back to your provider for details. At some point, a superbill will cross your desk with no diagnosis code or diagnosis notes listed. When your provider forgets to add a diagnosis, that doesn’t mean you can’t bill the encounter. All you need to do is review the documentation to determine the appropriate diagnosis code you should [...]