Problem List

momo2

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Good Morning,

As I research more on the topic of problem lists, I am finding conflicting information regarding coding from a problem list. Some say we can code from the problem list and others state never unless there is MEAT and or "TAMPER". And is this concept "payer specific"?

Question: If a problem list has a chronic condition and there is an active medication for just that condition, is it appropriate to pick up during the patient encounter even if it is not listed under the assessment and plan with assessment terms and plans?

Thanks!
 
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