• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Documentation and coding

Create Wiki
M

mchaidez

Contributor
Messages
15
Location
Downey, CA
Best answers
0
Hello,

One of our physicians documented Morbid Obesity, BMI 40-45 on patients H&P and Discharge Summary , but when I checked Medical records patient BMI was 32.44.
Can I still code Z68.32- even if the Physician Document BMI 40-45?
 
That sounds like conflicting documentation. One thing that I could think of is that patient's weight has changed since they first gave the patient a BMI 40-45. Now, if there is no documentation to support patient has lost weight and is now at 32.44, you will need to query the provider for the conflicting documentation in regards BMI 40-45 vs 32.44.

Hope this helps!
 
You must log in or register to reply here.
Top