Wiki E/M for MDM

[rossirob001]

I have a phys who documents under Impression and Plans - " High Chol - Stable- continue with meds." Can I use this statement as a diagnosis or must phys state the actual diagnosis of "Hypercholesterolemia"? This provider always uses High Chol under the Impression & Plan in the documentation. Let me know your thoughts!

 

[mrs.price0915@gmail.com]

You can use that documentation as the DX. I have Docs that does the same thing. He's stating that's what he checked and it's stable.