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Marilyn Posted Mon 15th of August, 2011 01:24:55 AM

My doctor has been giving me more than four diagnosis codes per patient, where would I enter the other diagnosis codes?

SuperCoder Answered Mon 15th of August, 2011 16:47:28 PM

From coding point of view, if it is necessary, we should code as seems valid as per the documentation of report. There are many instances, where such additional documention of diagnosis and codes are essential for supporting medical necessity of all the procedures performed. For example, an elevated level of E/M can be justified by such coding documentation, although you may not bill more than four diagnosis codes.
On the other hand, if the doctor is performing multiple procedures, and for each procedure performed there may be different combination of diagnosis codes to be mapped to these CPTs. Availability of multiple diagnosis codes more than four will help these.

Marilyn Posted Mon 15th of August, 2011 21:59:14 PM

For example, the doctor gives me the following diagnosis and gives me an E/M of 99215, 82950, 36415: 250.00, 401.0, 465.9, 477.9, 786.2, 729.5, 719.46...how are the other diagnosis be entered (EDI)?

SuperCoder Answered Tue 16th of August, 2011 12:59:41 PM

99215-465.9, 477.9,786.2
82950-250.00
36415-729.5,719.46
But, I need a realistic feedback from you. Because, I faced this question years back, and couldn't recollect the solution. Please tell me the problems that you face in this context, may be I will come out with a better solution.

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