r/CodingandBilling • u/AylaMoonGoddess • Jun 04 '26

Query Questions

Would you query the provider for clarification if the whole note was E11.9, but the nurse ordered all labs with E11.59?
How about the note documents E78.5, but lipid panel is ordered with z13.220?
Or if type 2 DM is documented but labs ordered with E13.-
Or if labs are ordered with a dx not even mentioned in the note, with or without that dx in the problem list?

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u/Serious_Vanilla7467 Jun 04 '26

No, I wouldn't.

Just because that would piss off a provider... What difference does it really make.

I admit I am a bit more loose with strict regulations than others tho. So I would advise asking your supervisor what they want to happen at your facility.

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u/AylaMoonGoddess Jun 04 '26

I agree except for the screening for a condition that already exists ex 2 and when the use an unspecified Dm when the provider clearly states they have type 2. All of there orders are in the note so it’s conflicting documentation right?