Jacoder
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I'm doing ER coding for our facility. The DR documented under the cheif complaint that a pt had a hip and lower back injury. The final DX is Lumbar Strain. Since he ordered an x-ray of the hip, this DX isn't going to be enough. Can I code from the cheif complaint as long as the DR wrote it or do I have to ask him/her to add it to the final DX list?
Thanks!
Jennifer
Thanks!
Jennifer