You Be the Coder:
Reporting Mixed CP
Published on Thu May 25, 2017
Question: Our physician treated a patient in the observation unit of the local hospital for complications related to mixed cerebral palsy (CP). Notes indicate that the physician performed a second-day observation service, which included a problem focused interval history, an expanded problem focused exam, and moderate medical decision making (MDM). How should I report this service and diagnosis, and what exactly [...]