Wiki Rule-out Status

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JRae5M

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The company that I work for are specialists who go in to skilled nursing and long term care nursing based on referrals. Depending on the length of stay,
the patient can be under Medicare Part A or Part B. We bill for services using codes 99304-99310. We have a doctor who wants to use the "rule-out" status for DX.
I have read through the ICD-10-CM guidelines, and it appears to me that this can only be used for hospital and facility coding, not a billing Clinician. Am I wrong on this?
It seems like there would be a ton of conflicting ICD-10-CM codes submitted to Medicare if the "rule-out" status was billed.
 
Thank you for the reply. I've been researching and found a RacMonitor article that actually addressed this very question
(apparently it is a common source of confusion).
Here is what I've found: because my providers use pro-fee billing (CMS-1500), we are to follow the ICD-10-CM guidelines under
Section IV, which instructs not to code a diagnosis with a "rule-out" status, even though we are servicing a patient who is inpatient
in a facility.
 
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