Coding Tip: Code Assignment and Clinical Criteria

ICD-10-CM Official Guidelines for Coding and Reporting
FY 2017
(October 1, 2016 – September 30, 2017)

I.A.19 Code Assignment and Clinical Criteria

“The assignment of a diagnosis code is based on the provider’s diagnostic statement that the condition exists. The provider’s statement that the patient has a particular condition is sufficient. Code assignment is not based on clinical criteria used by the provider to establish the diagnosis.”

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