RE: Appropriate v Non Appropriate queries

Whether or not "non-leading queries" is a mandate, in this case, there IS a legal mandate (per HIPAA, ICD-10 guidelines are law)--if you read the coding guidelines for BMI and Pressure and Non Pressure Ulcers speak to this situation:
14. Documentation for BMI, Non-pressure ulcers and Pressure Ulcer Stages
For the Body Mass Index (BMI), depth of non-pressure chronic ulcers and pressure ulcer stage codes, code assignment may be based on medical record documentation from clinicians who are not the patient’s provider (i.e., physician or other qualified healthcare practitioner legally accountable for establishing the patient’s diagnosis), since this information is typically documented by other clinicians involved in the care of the patient (e.g., a dietitian often documents the BMI and nurses often documents the pressure ulcer stages). However, the associated diagnosis (such as overweight, obesity, or pressure ulcer) must be documented by the patient’s provider. If there is conflicting medical record documentation, either from the same clinician or different clinicians, the patient’s attending provider should be queried for clarification.
The BMI codes should only be reported as secondary diagnoses. As with all other secondary diagnosis codes, the BMI codes should only be assigned when they meet the definition of a reportable additional diagnosis (see Section III, Reporting Additional Diagnoses).
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