Unspecified Diagnosis Codes

Q. We are afraid of getting denials for using unspecified ICD-10-CM [International Classification of Diseases, 10th Revision, Clinical Modification] codes. In an urgent care center, we sometimes will see a particular patient only one time for minor illnesses and injuries, and follow-up with their primary-care physician is always advised. Do you have any advice on documenting to get claims paid? A. Within ICD-10-CM, you may select codes defined as “Not Otherwise Specified” (NOS). Generally, this should …

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