Wiki Complexity of diagnosis based on test result

jenarnold

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An Urgent Care patient presents with fever and nausea and no known COVID exposure. Provider coded signs and symptoms R50.9 - fever and R11.9 for nausea. Provider ordered COVID-19 PCR test. Provider prescribed albuterol sulfate, prednisone, ondansetron, azithromycin. Provider coded 99214. The charges are held until the results come back on the COVID test.
3 days later COVID PCR results come back COVID positive.
The question is, based on the positive result, should the level of complexity be changed from 1 acute, uncomplicated illness or injury (for the fever and nausea) to 1 acute illness with systemic symptoms (COVID)?
Are we basing the complexity of the problem on the provider's initial assessment prior to the COVID result or are we basing the complexity on the new found COVID?
 
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