For pro fee coding, you code what you treat, address, or impacts your care. Even if it is documented as existing and the treatment of it, you do not necessarily code or count it.
I work in gynonc. I do sometimes code diabetes. If the provider wants to do surgery, but the PCP won't clear due to very elevated HgA1c. That impacts our treatment. If the note states "DM II well controlled for 10 years. takes 500mg metformin BID, follows with endo.", I do NOT code DM II since my provider is not treating even though the note specifies the treatment.
I'm assuming someone is incorrectly thinking if you document all the history/problems that exist, it impacts your coding level.
From the AMA 2021 outpatient guidelines:
Problem addressed: A problem is addressed or managed when it is evaluated or treated at the encounter by the physician or other qualified health care professional reporting the service. This includes consideration of further testing or treatment that may not be elected by virtue of risk/benefit analysis or patient/parent/guardian/ surrogate choice. Notation in the patient’s medical record that another professional is managing the problem without additional assessment or care coordination documented does not qualify as being addressed or managed by the physician or other qualified health care professional reporting the service. Referral without evaluation (by history, examination, or diagnostic study[ies]) or consideration of treatment does not qualify as being addressed or managed by the physician r other qualified health care professional reporting the service.
Reviewing a problem or medication list is not the same as addressing the medical condition.