Are all reportable diagnosis and surgical procedures

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Reference no: EM133328994

Knowledge of 3M Coder

30-year-old male was admitted with severe abdominal pain and nausea. The patient has not experienced any vomiting. Because of the nausea, he was dehydrated and treated with IV fluids. The patient also has a history of Crohn's disease. Abdominal x-rays were completed which showed significant inflammation in the sigmoid intestine. The attending physician did not document a causal relationship between the abdominal pain and the patient's Crohn's disease. Final diagnosis: Severe abdominal pain with nausea, dehydration and a history of Crohn's disease,

Question: Are all reportable diagnosis and surgical procedures documented by the physician to the extent of specific coding (that would affect the reimbursement)?

Question:

If yes, complete the coding in 3M and send abstract through digital drop box.
If no, if you found conflicting documentation or inadequate documentation for specific coding:
i.) Will additional documentation for more specific coding affect the reimbursement?
ii.) If yes, complete a query form and send 3M abstract AND query through the digital drop box.

Reference no: EM133328994

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