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Answers to Compliance and Medical Coding Questions.
  1. Kerri Posted 5 month(s) agoRelated Topics

    For discharge services 99238, 99239, 99217 for the professional service, if a diagnosis present during the hospitalization is resolved on the day of discharge and the documentation reflects this, do you code the resolved condition or code only active conditions on the date of discharge?

  2. SuperCoder Posted 5 month(s) ago

    Hi,

    As per coding guidelines, If the provider has included a diagnosis in the final diagnostic statement, such as the discharge summary or the face sheet, it should ordinarily be coded. Some providers include in the diagnostic statement resolved conditions or diagnoses and status-post procedures from previous admission that have no bearing on the current stay. Such conditions are not to be reported and are coded only if required by hospital policy.

    Thanks

    Please find the below link:

    https://www.cms.gov/Medicare/Coding/ICD10/Downloads/2016-ICD-10-CM-Guidelines.pdf

  3. Kerri Posted 4 month(s) ago

    Does section III page 99 from the CMS link you referenced, does this pertain to Professional Fee charges as well as facility IP/OP charges.

  4. SuperCoder Posted 4 month(s) ago

    Yes, this pertain to Professional Fee charges as well as facility IP/OP charges.

About this Question

  • Posted by 111227 Kerri, 5 month(s) ago. There are 4 posts. The latest reply is from SuperCoder.