Talk Ten Tuesdays

Code or Not to Code: Revisiting ICD-10-CM Guidelines

January 22, 2019 Episode 353
Talk Ten Tuesdays
Code or Not to Code: Revisiting ICD-10-CM Guidelines
Chapters
Talk Ten Tuesdays
Code or Not to Code: Revisiting ICD-10-CM Guidelines
Jan 22, 2019 Episode 353
Timothy Powell, CPA | Laurie M. Johnson | Julie A. Dooling | Deborah Grider | Erica Remer, MD
This guideline is frequently cited as the reason coders list diagnoses because the doctor said so. But is the doctor’s say-so enough?
Show Notes

"The assignment of a diagnosis code is based on the provider’s diagnostic statement that the condition exists. The provider’s statement that the patient has a particular condition is sufficient. Code assignment is not based on clinical criteria used by the provider to establish the diagnosis." — ICD-10-CM guideline I.A. 19

This guideline is frequently cited as the reason coders list diagnoses because the doctor said so. But is the doctor’s say-so enough? Reporting on this recurring issue during the next edition of Talk-Ten-Tuesdays will be broadcast co-host Erica Remer, MD, founder and president of Erica Remer, MD, Incorporated.

Other segments to be featured on the broadcast include: