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documentation for ICD-10


Best answers
Im hoping someone who is a instructor can help me with this- Is it ok for a provider to use thier assessment and plan/MDM for thier I-10 documentation?
For example:
constipation-slow transit- clean out with 5mg of bisacodyl followed by 8 capfuls of miralax.

OR should the provider have documentation of slow transit constipation in thier HPI/exam?:confused: