coding question

BarbLiimatta

Networker
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hi i just have a real quick question. do you code for office visits chronic condions that have been mentioned in the notes but are in a controlled state at the time of the visit??? I have because they have been addressed...just making sure im doing it right~!!! thanks
 

sharon wimberly

Contributor
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I have always coded for chronic condition if the physician addresses them during the visit. The MD may only renew Rx but still has documentation for the condition.
 

Karolina

Guru
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If the issue has been addressed by the provider, e.g., reviewing meds then I would count it towards the E/M level and list the diag. If the chronic condition is only mentioned and has nothing to do with this visit then it may be part of the past history only.
 
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