When your deficiency is a missing text, read the message under “reason”, which can be found on the bottom left hand side of the page. Coders and Analyzers use this as a communication tool that must be answered by the physician.
The encounter cannot be coded and billed until the question is answered.
∙ On dictated reports, please state when the H&P or consults were done
∙ Include admission and discharge date on Operative Reports, Echos, Heart Labs and Discharge Summaries
∙ Always state date of procedure
ICD-10-CM will be released in October of 2013. In preparation, all will be asked for more specificity on diagnosis codes. Be sure to take notice of all queries and answer them with the documentation that you have.