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Wiki Statement "no acute distress"

drhoads

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Can you count the statement "no acute distress" as Psych in the exam section when performing chart audits.:confused: Thank you
 
We do not. We consider that an assessment of patient's overall appearance (constitutional). We ask for either a comment regarding mood and affect, or orientation x 3, in order to count a bullet for psychiatric OS.
 
No acute distress- neuro

I have also considered this part of the constitutional exam, but I just listened (today) to an AAPC Webinar: Auditing EM Services for the Office & HOPD and they said "neuro".

The example they used was: Patient is well nourished, well developed (Constitutional), alert and oriented x3 (Psych), in no acute distress (Neuro).

I was a little surprised, so I decided to google and see what I can come up with. No definitive answers yet.
 
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