Fellow coders:
Provider lists neutropenic fever, anemia, and thrombocytopenia in his assessment list. Do I use the code for pancytopenia since all three are listed, or must "pancytopenia" also be documented by the provider in order to use it?
Patient is also undergoing chemotherapy but provider does not document a correlation there so I'm not using "drug-induced pancytopenia."
Thanks for your input!
Brenda
Provider lists neutropenic fever, anemia, and thrombocytopenia in his assessment list. Do I use the code for pancytopenia since all three are listed, or must "pancytopenia" also be documented by the provider in order to use it?
Patient is also undergoing chemotherapy but provider does not document a correlation there so I'm not using "drug-induced pancytopenia."
Thanks for your input!
Brenda
pancytopenia
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