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Help · Coding

Unspecified codes and what they cost

An unspecified code says the diagnosis was not recorded precisely. Payers treat it as a documentation gap, and it is the easiest reduction for them to justify.

  • The specific code is usually already in the note; it was the coding that generalised.
  • The suggestion shows what in the note supports the more specific code.
  • Nothing is coded without a person accepting it.