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Wiki Question re: smoking dx

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MelanieB

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Hello All,

Can anyone tell me the rules of documenting procedure codes 305.1 (tobacco use disorder) and V15.82 (personal hx of tobacco use). Can you code these from the RN or MA's notes? If not, is there anywhere I can go to get that in black and white? Thanks for any information!
 
I code all ER coding here and I DO code the history code from the nurse notes. If it is a current smoking status, I loof for it in the providers documentation, since it is a current dx.
 
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