Cardiology Coding Alert

Cardiology Coding:

When Coding, Link Cardiomegaly to Hypertension

Question: A patient with longstanding hypertension is referred to a cardiologist after a chest X-ray obtained for persistent cough shows an enlarged cardiac silhouette. The cardiologist reviews the imaging, performs an examination, and documents “essential hypertension, not at goal” and “cardiomegaly” in the assessment. There are no clinical findings of heart failure, and the cardiologist does not state that the [...]
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