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Wiki CVA-Coding In The Physician's Office

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smckinney

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I just wanted to get your input on CVAs. If a patient presents to a physician's office and within the assessment the physician documents CVA, how should the CVA be coded? I know that there is the acute phase, the late phase and the "history of" phase, but just wanted to get your input on what to code when. As far as the example above, let's say that the physician repeatedly documents CVA (meaning every visit). There are also times when the patient comes in for issues unrelated to CVA and the MD documents CVA in the assessment. Your input is greatly appreciated.
 
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