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The conventional wisdom is that medical practices are going to have problems when healthcare payers want more specific ICD-10 codes. 
Will it really be a problem? 
Maybe medical practices are assigning very specific ICD-10 codes already, and they're going to do just fine. 
The American Health Information Management Association (AHIMA) has some advice on how to assess a medical practice's ICD-10 specificity. 
Start by asking some questions: 
- How often are unspecified ICD-10 codes assigned?
 
- Do the non-specific codes form patterns?
 
- Does clinical documentation allow more specific ICD-10 coding?
 
- Is the electronic health record (EHR) using faulty logic to assign unspecified ICD-10 codes?
 
 
It's possible that medical practices are already assigning proper, specific ICD-10 codes, however, it should only be unspecified 
while you are awaiting the diagnostics you are performing to come up with a definitive code. 
 Tip: use an unspecified to call for authorization when using a biopsy, or CT Scan 
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