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Wiki CPC, Othopedic Surgery

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smurray

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Owasso, OK
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As part of our EHR system we have an active problem section that lists the pertinant diagnosis codes for a particular visit. Is this section compliant/sufficient for the care given including xrays or does there need to be an assessment line documenting the pertinant diagnosis.

For example, patient is being seen past the 90 day global for xrays of a total hip. Please reply as soon as possible.
 
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