Routine use of too many nonspecific diagnostic codes may result in downcoding.

Name: Routine use of too many nonspecific diagnostic codes may result in downcoding.
Brand: Quizplus
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Question

Quizplus · Accepted Answer

Downcoding occurs when a diagnostic code does not provide enough detail or specificity to support the medical necessity of a procedure or service. Using nonspecific codes can lead to a lower reimbursement rate or the denial of a claim. Healthcare providers should accurately document diagnoses to ensure proper coding and billing.

Routine Use of Too Many Nonspecific Diagnostic Codes May Result