Wiki DX vs DX

[Jbaughe2]

Can anyone tell me if there are written guide lines for out patient coding when the physician states the DX as; DX vs DX or Symptom vs Symptom and nothing is confimed by the test.
I know that you are suppose to code symptoms but is it in writing any where and what do you do if the 2 are already symptoms and nothing can be confirmed. Thanks

 

[mitchellde]

If they are stated as symptoms then the patient must have complained of it or experienced it, so code the symptoms as they must exist or they are not symptoms.

 

[Jbaughe2]

an example would be Vaginal bleeding VS hematuria and neither have been confirmed. should I just code an unspecified hemorrage, or code them individually? Is there a guideline for this written any where? or would it fall under the guideline for R/O and inconclusive dx etc?