To locate a definitive or confirmed diagnosis within the provider documentation, coders should look for certain terms. These include all except which term listed below?

Question

Quizplus · Accepted Answer

The term "probable" does not indicate a definitive or confirmed diagnosis. Instead, it suggests uncertainty or a diagnosis that is not yet confirmed, which is not what coders should look for when trying to locate a definitive diagnosis within provider documentation. Terms like "conclusion," "impression," and "finding" are more indicative of a confirmed diagnosis.

To Locate a Definitive or Confirmed Diagnosis Within the Provider