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Wiki Complete SOAP note???

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myanez68111

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Amarillo, TX
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Would this be okay to bill as a subsequent visit at the hospital? (99231)
Input much appreciated. See dictation below.


Interim events noted.
Has recovered from TEE procedure well.
No changes in CV exam findings.
Awaiting final decision regarding MVR.
Cardiology will follow as needed.
Electronically signed by John Doe, MD at 6/3/2020 2:44 PM
 
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By "interim events noted", I am assuming that is spelled out in the note? And was there an exam spelled out? If so, I would say yes, it's good.

99231 needs 2 out of 3: problem-focused interval history, problem-focused exam, MDM straightforward or low complexity.
 
0
There is no other dictation. Literally only this was provided.

Interim events noted.
Has recovered from TEE procedure well.
No changes in CV exam findings.
Awaiting final decision regarding MVR.
Cardiology will follow as needed

There was nothing else spelled out in the note for the interim notes or exam.
Please see attached.
 

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