ShannaRoe
New
Hello all--I would like to know your opinion on reporting all diagnoses in the assessment in the clinic setting, whether they are being treated or not.
For example, patient comes in for hypertension medication refill and monitoring, and has anxiety and a history of a healed traumatic fracture. The only thing treated/addressed at the visit is hypertension, but in the assessment the physician lists: hypertension, anxiety, and history of healed traumatic fracture.
Which diagnosis codes would you report and which ones would you leave off in the clinic setting (assuming that all diagnoses had been reported earlier in the year for risk adjustment purposes). This is something of a debate in our office and I am very interested in opinions.
Thanks!
For example, patient comes in for hypertension medication refill and monitoring, and has anxiety and a history of a healed traumatic fracture. The only thing treated/addressed at the visit is hypertension, but in the assessment the physician lists: hypertension, anxiety, and history of healed traumatic fracture.
Which diagnosis codes would you report and which ones would you leave off in the clinic setting (assuming that all diagnoses had been reported earlier in the year for risk adjustment purposes). This is something of a debate in our office and I am very interested in opinions.
Thanks!