alices
Guru
can someone please help?? I seem to be having a few problems lately when it comes to the HPI and now the PFSH, what level would you all give.
cc- sob, hpi-pt presents c/o sob has chronic asthma, pt buys his meds from mexico flea mkts, pt has been sob for several days, getting worse, assoc-cough no fevers and no modifying factors, ros-is complete, pfsh-asthma social hx is chked=2, exam-complete
dx is status asthmaticus, meds given albuteral, atrovent, prednisone, with 3 breathing tx.,
my problem I think that I am having is that if it is a chronic condition then it is a 2 estab priob worsening, and if there is no other dxs/labs or anything to put into the table B , table C we have the meds/treatment the only level is the 99282 and for me it just doesn't look right/feel right I don't want to over code but I really don't want to under code either, I hope that someone will help me with this, hopefully I explained it right..thanks alice
cc- sob, hpi-pt presents c/o sob has chronic asthma, pt buys his meds from mexico flea mkts, pt has been sob for several days, getting worse, assoc-cough no fevers and no modifying factors, ros-is complete, pfsh-asthma social hx is chked=2, exam-complete
dx is status asthmaticus, meds given albuteral, atrovent, prednisone, with 3 breathing tx.,
my problem I think that I am having is that if it is a chronic condition then it is a 2 estab priob worsening, and if there is no other dxs/labs or anything to put into the table B , table C we have the meds/treatment the only level is the 99282 and for me it just doesn't look right/feel right I don't want to over code but I really don't want to under code either, I hope that someone will help me with this, hopefully I explained it right..thanks alice