Coding Behavioral Health Forms

torresreb

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I am requesting opinions regarding what information from specific areas should be coded from Behavioral Health visit forms. Informational areas on the form are: Mental status, Medical symptoms (medical condition, medication, physical symptoms), Behavioral history, Substance use, eating habits, Psychosocial, and Current and previous medical conditions.

I know that with annual wellness visits we do not code patient reported symptoms, but in behavioral health, should we code patient reported mental status indications, such as hx of suicidal ideations?
 
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