Wiki Rule-out Coding

[jaud63]

I am working for a new organization. One of the directives that I have heard being used is that rule-out diagnosis are fine to use for the professional fees of the ED medical providers.
Has anyone heard of this through CMS or elsewhere?

 

[mitchellde]

No it is not allowed per ICD - 9 or ICD-10 guidelines which are HIPAA mandated to be adhered to. Check the front of your code book for the guidelines, look under uncertain dx under general guidelines

 

[jaud63]

Coding Rule-outs

Thank you so very much.