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Wiki incomplete exam

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laura vangroningen

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Not sure how to code the following situations....

situation 1: Patient has Vital Signs taken and recorded, medication information entered into their medical record, allergy info entered etc. the patient walks out before the dr. enters the room for the exam

situation 2: same as above, and in addition CLIA tests are also done and recorded before patient walks out - prior to dr's exam.

any suggestions?

thanks
 
2nd posting

laura trinca said:
Not sure how to code the following situations....

situation 1: Patient has Vital Signs taken and recorded, medication information entered into their medical record, allergy info entered etc. the patient walks out before the dr. enters the room for the exam

situation 2: same as above, and in addition CLIA tests are also done and recorded before patient walks out - prior to dr's exam.

any suggestions?

thanks
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