General Diagnosis Coding Guidelines: Difference between revisions

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== If the doctor says so, it probably is ==
== If the doctor says so, it probably is ==
If a doctor diagnoses a condition when our guide criteria are not fully met, code it.  
*If a doctor diagnoses a condition when our guide criteria are not fully met, code it.  
If the chart supports that the diagnosis is wrong fundamentally (not a similar dx of the same flavour), [[General Diagnosis Coding Guidelines#Use your best judgment | use your best judgement]] and [[General Diagnosis Coding Guidelines#Talk to the doctor | talk to the doctor]].
*If the chart supports that the diagnosis is wrong fundamentally (not a similar dx of the same flavour), [[General Diagnosis Coding Guidelines#Use your best judgment | use your best judgement]] and [[General Diagnosis Coding Guidelines#Talk to the doctor | talk to the doctor]].
*An exception to this "rule" is for diagnoses which have specific, standard criteria that are listed on the relevant wiki page.  Examples include [[VAP]] and [[CLI]]. 
**Sometimes with these the physicians and others might be using different diagnoses from the ones we decided to use in the database.


== Is the diagnosis highly likely ==
== Is the diagnosis highly likely ==