It is acceptable to code encounters for "probable" or "suspected" conditions on a UB-04 claim form to indicate a patient's admitting diagnosis.

Question

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According to the National Uniform Billing Committee (NUBC) guidelines, probable or suspected conditions may be coded as the admitting diagnosis if a definitive diagnosis has not yet been established. This helps to ensure accurate reimbursement for the care provided to the patient.

It Is Acceptable to Code Encounters for "Probable" or "Suspected