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Oncology & Hematology Coding Alert

Reader Questions:

Be Careful With Complexity for Undiagnosed Condition

Published on Thu Apr 25, 2024

Question: Does an undiagnosed new problem with uncertain diagnosis automatically mean a moderate level of problem complexity? Minnesota Subscriber Answer: The answer to this question really depends on the situation and the documentation, but not much is “automatic” when it comes to leveling an encounter. Confusion here revolves around the different ways ICD-10-CM and CPT® operate in regard to uncertain diagnoses. With [...]
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