Common use of Diagnosis During Initial Assessment Clause in Contracts

Diagnosis During Initial Assessment. 18.6.1 Contractor may use the following options during the assessment phase of client’s treatment when a diagnosis has yet to be established as specified in BHIN 22-013: 18.6.1.1 ICD-10 codes Z55-Z65 Potential health hazards related to socioeconomic and psychological circumstances: may be used by all providers as appropriate during the assessment period prior to diagnosis and do not require certification as, or supervision, of, an LPHA. 18.6.1.2 ICD-10 code Z03.89 Encounter for observation for other suspected diseases and conditions ruled out: may be used by an LPHA during the assessment phase of a client’s treatment when a diagnosis has yet to be established. 18.6.1.3 CMS approved diagnosis code on the ICD 10 tabular, available in the CMS 2022 ICD-10-CM page at: xxxxx://xxx.xxx.xxx/medicare/icd-10/2022-icd-10-cm, which may include Z codes. LPHAs may use any clinically appropriate ICD-10 code, for example, codes for “Other specified” and “Unspecified” disorders, or “Factors influencing health status and contact with health services”.

Diagnosis During Initial Assessment. 18.6.1 a. Contractor may use the following options during the assessment phase of client’s treatment when a diagnosis has yet to be established as specified in BHIN 22-013: 18.6.1.1 i. ICD-10 codes Z55-Z65 Potential health hazards related to socioeconomic and psychological circumstances: may be used by all providers as appropriate during the assessment period prior to diagnosis and do not require certification as, or supervision, of, an LPHA. 18.6.1.2 ii. ICD-10 code Z03.89 Encounter for observation for other suspected diseases and conditions ruled out: may be used by an LPHA during the assessment phase of a client’s treatment when a diagnosis has yet to be established. 18.6.1.3 iii. CMS approved diagnosis code on the ICD 10 tabular, available in the CMS 2022 ICD-10-CM page at: xxxxx://xxx.xxx.xxx/medicare/icd-10/2022-icd-10-cm, which may include Z codes. LPHAs may use any clinically appropriate ICD-10 code, for example, codes for “Other specified” and “Unspecified” disorders, or “Factors influencing health status and contact with health services.”.