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Wiki minimum documentation requirements for in office procedures

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twoerpel

twoerpel

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Monroe, WI
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I am looking for a source which lists the minimum documentation requirements for in office procedures performed both by a provider or his/her ancillary staff.

A note example I have is " the patient comes in for routine suprapubic tube change. He reports no problems". The note is signed by the MD who is billing a 51705.

Thank you in advance for any direction you can provide.
 
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