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Wiki patient refuses full work up

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mabauer1

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patient came in with abdominal pain and vomiting with some blood in vomitus. He refused rectal exam and ngt lavage. Final dx was acute abn. pain and acute GI bleed. Do I need to code anything for the patient refusing the full work up?
 
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I found ICD-9 codes for a "refusal of treatment"; V64.2 or V62.6. Given what you have said, I'd use V64.2 since you don't know the reason for the refusal.
 
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