When entering codes for diagnoses on a CMS-1500 claim, qualified diagnosis codes (e.g., possible, probable) are never reported. Instead, codes for the patient's __________ are entered.

Question

Quizplus · Accepted Answer

In medical billing, when a diagnosis is not confirmed, the signs or symptoms that the patient presents with are reported instead of unconfirmed diagnoses like "possible" or "probable" conditions.

When Entering Codes for Diagnoses on a CMS-1500 Claim, Qualified