Discuss the importance of choosing the fourth and fifth digits for ICD-diagnostic coding when necessary. Include the problems that will occur if the additional digits are not chosen for the codes.
What will be an ideal response?
Fourth and fifth digits are mandatory to identify the code you are choosing.
When coding, the fourth and fifth digits add more information to the code description to allow carriers to know what you are diagnosing.
Leaving the fourth and fifth digits off the code will result in a denial and cause decreased payments or no payment. This creates more work for the employees.
Also, if the billing department does not work the denial and appeal in a timely manner, then the payment will not be collected.
Always use fourth and fifth digits to identify diagnosis needed; again, they are mandatory.
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