Wiki changing dx's

[smaher82]

I was at an inservice today and wasnt able to ask a question. She was talking to the providers about using more specific diags for better payment. She had mentioned that even if it is correctly documented in a pts charts that if on a superbill a provider puts for ex: just copd 496 that we have to bill it that way.

So it this correct ... if the dr put bronchitis with asthma and checks off bronchitis 466.0 and asthma 493.90 seperatly I cant use code 493.20. This doesnt make sense to me Im the coder If its in the pts chart arent I suppose to use the book to code the diag correctly???

 

[smaher82]

sorry have another example

I have a pt who is here for a fracture f/u. The dr put the dx fracture ribs i know as a coder i cant use that diag again i would have to code the pain and the aftercare dx. Is this wrong to do that?

 

[mitchellde]

We code form the documentation not the superbill. Our codes never have to match the superbill but are required to match the documentation I am sorry but the speaker is incorrect .