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Gastroenterology Coding Alert

Reader Questions:

Check the Guidelines for This R10 Rule

Published on Thu May 23, 2024

Question: Can I use an R10.- code without a definitive diagnosis? Montana Subscriber Answer: While ICD-10-CM Official Guidelines, Section IV.H, tells you not to code diagnoses “documented as ‘probable,’ ‘suspected,’ ‘questionable,’ ‘rule out,’ ‘compatible with,’ ‘consistent with,’ or ‘working diagnosis,” or other similar terms indicating uncertainty,” you can reach for an R10.- (Abdominal and pelvic pain) code if your provider has documented [...]
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