Vaida Posted Mon 18th of November, 2013 14:55:09 PM
Is it mandatory for ICD-9 codes to be displayed in the Assessment and Plan section of a progress note or just a description of a condition is sufficient enough for legal/audit purposes? Lets say if patient is being diagnosed with Acne, does 706.1 have to appear next to this diagnosis in the note?
SuperCoder Answered Mon 18th of November, 2013 19:25:50 PM
I am not aware of any payer requirements regarding mandatory documentation of the actual ICD-9 code(s) versus clear documentation of the patient's condition / diagnoses. In addition the ICD-9-CM Guidelines also do not include any such requirement.