a provider often considers diagnoses that do not receive direct treatment during an encounter because they…

a provider often considers diagnoses that do not receive direct treatment during an encounter because they impact treatment of other conditions. it is appropriate to report codes for such diagnoses on the cms - 1500 claim because they have been -----------.discounted by the payerincluded in coveragemedically managedtreated during the visit

a provider often considers diagnoses that do not receive direct treatment during an encounter because they impact treatment of other conditions. it is appropriate to report codes for such diagnoses on the cms - 1500 claim because they have been -----------.discounted by the payerincluded in coveragemedically managedtreated during the visit

Answer

Brief Explanations:

In medical billing, when a diagnosis impacts the treatment of other conditions and is medically managed (even if not directly treated during the encounter), it is appropriate to report its code on the CMS - 1500 claim. Discounted by the payer is not a valid reason for reporting. Just being included in coverage without medical management is not sufficient. And the option "treated during the visit" contradicts the premise that the diagnosis does not receive direct treatment during the encounter.

Answer:

C. medically managed