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CodeMap Compliance Briefing: 6/17/05


Editor's Welcome:

The following discussion of diagnosis coding rules for clinical laboratories concludes our two week review of diagnosis coding practices for diagnostic test providers. Part 1 of this series was published on 5/20/05.  In case you missed that CodeMap Compliance Briefing, it discussed diagnosis coding rules for pathologists and radiologists. This week's briefing will examine the rules applicable to clinical laboratories. Remember, past CodeMap Compliance Briefings may be accessed by registered users of our site. As always please do not hesitate to forward questions, comments, or suggestions for future CodeMap Compliance Briefings.  

Sincerely,

Gregory Root, Esq.

ICD-9 Coding Rules for Clinical Laboratories

Rule 1: Only Submit Diagnoses Obtained from the Ordering Physician

Clinical laboratories should obtain all diagnosis information submitted on claims to Medicare or Medicaid f....

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