In the inpatient setting (but not the outpatient setting), you typically may report a diagnosis documented by the provider as “suspected,” “rule out,” “probable,” “possible,” etc. Exceptions to this rule include HIV and Zika. The ICD-10-CM Official Guidelines for Coding and Reporting (18.C.1.f) instruct: Code only a confirmed diagnosis of Zika virus (A92.5, Zika virus […]
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