But coders should be able to defend this with documentation of clinical circumstances, such as if the patient is: In the intensive care unit. Unacceptable principal diagnosis codes Requires secondary diagnosis code to support principal diagnosis Non-covered procedure codes Always non-covered procedures Non-covered procedures allowed with specific diagnosis Procedures non-covered with specific diagnosis Non-covered procedures based on age Invalid age and sex The O32 codes have no such code first instructions, but do indicate: The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O32 that has a 7th character of 1 through 9. Here are the top 20 most frequently hospice claims-reported diagnoses for 2017. An official website of the United States government The 2021 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2021. 32X (Home Health, Inpatient Part B) -- if a manifestation diagnosis code is listed as the claim's ICD-9-CM/ICD-10-CM principal diagnosis code, the claim line will receive Edit . Do You Know the Difference Between Reporting 59000 or 59001? Im unsure on how we would use an obstruction of labor code on scheduled C-sections where the patient never went into labor. They want us to code what the principle diagnosis was for bringing her into the hospital. PDF Inpatient Unacceptable Principal Diagnosis Policy, Facility It is always the first-listed diagnosis on the health record and the UB-04 claim form. Additional codes may be added upon request with documentation and justification as to why the patient has a prognosis of 6 months or less with this diagnosis. Medicare Severity Diagnosis Related Group (MS-DRG) Grouper Software and Medicare Code Editor (MCE) Version V38.0 R1MAINFRAME Software, Medicare Severity Diagnosis Related Group (MS-DRG) Grouper Software and Medicare Code Editor (MCE) Version V38.0 R1, ICD-10 PC Software, Proposed ICD-10 MS-DRG Definitions Manual Files V38. Unacceptable diagnosis codes can be identified in an ICD-10 CM diagnosis codebook with a notation as unacceptable principal diagnosis. Unacceptable principal diagnosis - ICD-10-CM Medicare Code Edits There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. R38 - Unacceptable Principal Diagnosis. Official websites use .govA 12. 10-k