使用诊断编码约定避免拒绝索赔

AAP Pediatric Coding Newsletter Pub Date : 2024-06-01 DOI:10.1542/pcco_book242_document003

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引用次数: 0

摘要

本文讨论了按照《国际疾病分类》第十版临床修正（ICD-10-CM）指南报告代码如何帮助医生和其他合格的医疗保健专业人员（QHPs）避免拒赔。这包括以下内容：ICD-10-CM 代码如何影响索赔裁定编码的最高特异性水平遵守 "除外 "1 注释遵守 "代码优先 "注释适当报告后遗症代码正确使用外部原因代码正确连接诊断与手术代码

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Use Diagnosis Coding Conventions to Avoid Denied Claims

This article discusses how reporting codes in compliance with International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) guidelines can help physicians and other qualified health care professionals (QHPs) avoid denied claims. This includes the following: How ICD-10-CM codes affect claims adjudication Coding to the highest level of specificity Compliance with Excludes1 notes Compliance with “code first” notes Appropriately reporting codes for sequela Correct use of codes for external causes Proper linking of diagnosis to procedure codes

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AAP Pediatric Coding Newsletter

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