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Wiki A/P Addressing of a Dx

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T

TLC

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So I was wondering. We get dinged no our audits if we bill a diagnosis that is not "addressed" in the A/P. If this has been noted elsewhere in the
notes is it ok to bill the dx? This comes from our compliance department.

Physical exam shows: "diffuse thinning of hair with visible scalp on sides and crown".

A/P States: Alopecia with nothing as to anything done just that the patient has it.

A/P: Alopecia (L65.9)
Thank you for your help.
Any links would be appreciated
 
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