Oncology & Hematology Coding Alert

Question: In my coding classes, we learned that if the treating physician orders the test for a sign or symptom, we should code the final diagnosis if available instead of the symptom. Where can we locate these guidelines?Codify MemberAnswer: Your coding class was right. You should code the final diagnosis if available rather than coding the symptom that led to the test.You'll find this rule supported by the ICD-9-CM Official Guidelines for Coding and Reporting, Section I.B.6: "Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for reporting purposes when a related definitive diagnosis has not been established (confirmed) by the provider."You can access the guidelines for ICD-9 2012 online at www.cdc.gov/nchs/data/icd9/icd9cm_guidelines_2011.pdf. Although many ICD-9-CM manuals include a copy of the official guidelines, the manuals typically include the previous year's guidelines because of publishing deadlines. Using the online version ensures you're using the most up-to-date guidelines.Watch [...]