Wiki Chief complaint-I recently read

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Mimi26

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:eek:
I recently read something about the fact that "here to establish primary care physician" is not a valid chief complaint but I can't remember where I read it.

Does anyone have any information about this issue? Gosh I hope so! :eek:

Thanks so much,
 
Chief Complaint

In the Coding Edge June 2009 pg 35 in the box the first statement reads; A chief complaint is a medically-necessary reason for the patient to meet with the physician. If there is no chief complaint the service is preventive and should be reported using a non-preventive medicine code. I hope that helps and maybe this is where you read it.
 
CC can be in the HPI

You can pull the Chief Complaint from the HPI. If your doctor discusses 3 chronic illnesses for example, or states that the patient is "feeling tired". Then choose your level of E/M from the appropriate section based on the rest of the note. Best wishes.:)
 
I have been searching and searching for an answer and hope you can help!

I am not sure if this is allowable for an established follow up cheif of complaint.

CC: Feeling Better
 
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