I would like some feedback about queries and when to do them. I have always assigned the diagnosis off of the physician statements in the A/P. When the physician chooses a diagnosis that doesn’t support what they put in the A/P I wont use it. I’ll correct it to what was documented. For example, in the A/P the provider will put Major Depression Disorder which I would code F32.9. Then in the charges/claim the provider will put F33.0- Major depressive disorder, recurrent, mild. Would you send this back to the provider to add documentation to support that code or code it as is?

To clarify, I do send queries on other things. I am just struggling with when the A/P doesn’t match the codes the provider gives.