Remember sequencing rules when listing a manifestation code. Trying to figure out how to answer M0246? Three simple questions can help you make the right choice. Use this decision tree to help, suggests consultant Karen Vance with BKD in Springfield, MO. Note: For help deciding whether or not to list a V code for your patient, refer to the Centers for Medicare & Medicaid Services' updated guidance on Medicare Home Health Diagnosis Coding. For a copy of this document, email the editor at janm@elijournals.com with the heading "V code statement."