what to code: diagnosis vs diagnosis | Medical Billing and
Jun 23, 2011 · 0. Jun 23, 2011. #5. When documentation indicates uncertainty in the diagnosis, it cannot be coded. In the case of the doctor documenting DX versus DX, neither can be coded. Instead, code signs and symptoms, to the highest degree of certainty for the encounter, until a definitive diagnosis is given. (This rule is not applicable to inpatient ...
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