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[Verified Answer]: Maria Franklin saw Dr

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Maria Franklin saw Dr. Walder at Walden-MartinFamily MedicalClinic on 10/03/20XX for complaints of nausea, vomiting, and diarrhea. Dr. Walden documented the condition in Ms. Franklin’s health record as posible gastroenteritis because it is described as probable and is not yetconfirmed. The diagnosis on the CMS-1500 form would be the symptoms rather than probable gastroenteritis. Dr. Walden subsequently admits Maria to the hospital. For inpatient facility billing, coding of signs or symptoms (especilly as the principal diagnosis) is not a routine practice because many payers would not pay for or would question inpatient admissions codes with signs and symptoms only. What would the health insurance professional use as the principal diagnosis on the UB-04? Explain your rationale for using this principal diagnosis.

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