vendredi 25 septembre 2015

Can it be coded?

An annual wellness visit ...

I understand the ROS cannot be coded as it is the patient's impressions and needs to be verified by the provider in order to code it ...

my question ...

in the physical exam the provider states:

"patient states left side weakness"

My opinion is that this is not enough to code ... because there isn't a 'plan' as to what will be done or what the patient should do or am I looking for too much here?

This doesn't sound like is a verification rather a repeat of what the patient said during the ROS check ...

Can the left side weakness be coded?

thank you ...


Can it be coded?

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