Coding and reporting of diagnostic outpatient services

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Which of the following is true regarding the guidelines for coding and reporting of diagnostic outpatient services? For patients receiving diagnostic services only during an encounter or a visit any documented diagnosis may be sequenced first for billing purposes. Without exception, the condition, problem, or reason for the encounter shown in the health record to be responsible for receiving the therapeutic services will be sequenced first for billing purposes for an outpatient encounter. For patients receiving diagnostic services only during an encounter or visit, sequence first the diagnosis, condition or problem, or other reason for the encounter or visit shown in the health record to be chiefly responsible for the outpatient services provided. For outpatient services, conditions documented as "probable," "possible," "suspected," "questionable," or "rule out" are to be coded as though they exist.

Reference no: EM133646056

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