Guidelines › Borderline diagnoses
Borderline diagnoses
Official text from the FY2027 ICD-10-CM Official Guidelines for Coding and Reporting. The wording is quoted exactly.
Guidelines I.B.17
“If the provider documents a "borderline" diagnosis at the time of discharge, the diagnosis is coded as confirmed, unless the classification provides a specific entry (e.g., borderline diabetes).”
Where this applies
This is a general rule. It applies to code assignment everywhere, not to one code or group of codes.
The Guidelines are the authority for assigning codes, and following them is required under HIPAA. This page quotes them for convenience and is not a substitute for the official document. See the Terms and Disclaimer.