Refer to the ICD-10-CM Official Guidelines Section II.H, which states: If the diagnosis documented at the time of ________ is qualified as "probable", "suspected", "likely", "questionable", "possible", or "still to be ruled out", or other similar terms indicating uncertainty, code the condition as if it ________ or was established.

Question

Quizplus · Accepted Answer

According to Section II.H of the ICD-10-CM Official Guidelines, if a diagnosis is qualified as uncertain or still to be ruled out, it should be coded as if it existed or was established. This pertains to the time of discharge, not admission. Therefore, the best choice is B (discharge, existed).