jraykovicz
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What type of documentation am I looking for to justify the code assignment of secondary/co-existing conditions? I am well aware of the coding guideline, i.e. "Code all documented conditions that coexist at the time of the encounter/visit, and require or affect patient care treatment or management." , however, Patient's CC is "cough" but the second, third diagnosis in the assessment is hyperlipidemia/hypertension. How do I confirm the latter "affected care or management" of the cough??? Or are the coding guidelines purposefully vague? (I know, loaded question)