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Coding Compliance Open Wounds as a Primary Diagnosis Open Wound as a Primary Diagnosis Often we see the term open wound used as a diagnosis, especially as a primary diagnosis. This is a vague term and should be avoided, because it will need clarification before it can be coded. Did you know that an open […]
Coding guild lines state that symptom codes are use only when no diagnosis classifiable or found elsewhere is documented. In other words, if the specific condition is known, then that condition is coded. Examples of this is seen frequently in homecare are listing and coding shortness of breath or edema along with CHF. Only the […]
The face to face encounter must occur within the 90 days prior to the start of care, or within the 30 days after the start of care. While the long standing requirement for physicians to order and certify the need for home health remains unchanged, this new requirement assures that the physician’s order is based […]