Wiki New problem or estblished problem to examiner

[PKellogg]

I have a pt who has been in the hospital ER three times. Each time she has had to be admitted for a surgery to her ankle. My question is - Is she considered a new problem to examiner or an established pt for each new time she has reinjured herself?

 

[FTessaBartels]

New injury = new problem

In general, a new injury equals a new problem. HOWEVER ....

If this is three trips in three days, this may be a re-occurring problem, vs a new injury.

I would have to see all the notes and check the time line to be certain.

Hope that helps.

F Tessa Bartels, CPC, CEMC