An 82-year-old male resident was admitted to a skilled nursing facility without a diagnosis of

An 82-year-old male resident was admitted to a skilled nursing facility without a diagnosis of schizophrenia after admission the resident was prescribed an antipsychotic medication by the primary care physician for behaviors to schizophrenia. This is the only notation in the residence, medical record, including history and physical of the new schizophrenia diet diagnosis should schizophrenia be captured in item 16000?Is it a yes there is a position diagnosis in place or is it? No, there is not adequate documentation to support coding MDS as it C know the diagnosis of schizophrenia must be coming from a psychiatrist or is a D no but the ICD – 10 CM code for schizophrenia can be captured in 18000.

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