Asked by Samantha Cullen on May 22, 2024
Verified
The guidelines direct a coder to exclude any conditions or diagnoses:
A) that have no impact on the current treatment or service.
B) that cannot be reimbursed.
C) for which tests results are inconclusive.
D) for which insurance companies will deny payment.
Guidelines
Systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.
Exclusion Conditions
Specific conditions or factors that disqualify participation or inclusion in a study, trial, or procedure.
Current Treatment
The most up-to-date or commonly used therapies or interventions for a disease or condition.
- Understand the guidelines excluding certain conditions or diagnoses from coding.
Verified Answer
AN
Ambrose NilamMay 23, 2024
Final Answer :
A
Explanation :
The purpose of coding is to accurately reflect the patient's condition and treatment, so including irrelevant conditions or diagnoses would not serve this purpose. Excluding conditions or diagnoses that have no impact on the current treatment or service ensures that the coding accurately reflects the patient's condition while also avoiding any confusion or errors that may arise from including irrelevant information.
Learning Objectives
- Understand the guidelines excluding certain conditions or diagnoses from coding.