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ICD-10-CM Dx/Tx serv

ICD-10 Coding diagnostic and therapeutic service

QuestionAnswer
For patient receiving only diagnostic services, which diagnosis code should be listed first? the diagnosis, condition , problem, or other reason for the test.
In what sequence should diagnosis codes be located when testing is done for chronic conditions? As additional codes
When there are no signs/symptoms and an encounter occurs for routine lab/radiology testing, What code should be assigned? Z01.89 Encounter for other specified special examinations
What code(s) should be applied if routine and non-routine testing to evaluate signs and symptoms are performed at the same visit? the code describing the reason for the non-routine tests as well as the Z code for routine testing (Z01.89)
For outpatient encounters, if a test is performed during the visit and the provider has interpreted the test and results are available at the time of coding, what should coded? The definitive diagnosis determined by the test results. I no definitive diagnosis has been determined, code the signs and symptoms.
If a patient receives no therapeutic services during a visit, what diagnosis should be first listed? the diagnosis, condition, problem, or other reason for the visit per the medical record.
If a patient is seen for only therapeutic services, and has additional chronic conditions, should the chronic conditions also be coded as additional codes? Yes
If a patient is being seen only for chemotherapy or radiation therapy, what code is coded first? The Z code for Chemo tx or Rad tx, followed by the diagnosis leading to the tx.
When a patient presents for pre-op exam, what should the first-listed code be? Z code for pre-op exam first. Add other code(s) describing the reason for the surgery as additional codes. Also add codes describing findings of pre-op eval.
Created by: ZonaB2
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