established patient, recuriing dx

NITRIS27

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We saw an established patient 2 years ago with a diagnosis of microhematuria and we treated and resolved the microhematuria. Now the patient is presenting to the office again with another episode of microheamturia, is this diagnosis considered a new diagnosis with additional work-up or and established diagnosis, worsening?

I guess I'm questioning if we've treated a patient for a specific diagnosis and resolve the issue, what happens if they come back and are having the issue years down the road. How do we classify established or new for diagnosis purposes?

Thanks

Michelle
 
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Milwaukee WI
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Given the interval

Given a 2-year interval, I'd consider this a new problem. If it had been two weeks, or even two months, I might consider it existing.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
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