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Wiki Subsequent Hospital Services

calorom2

Networker
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66
Location
Liverpool, NY
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If a patient presents at the initial hospital services with chest pain and at the subsequent hospital service visit the chest pain is resolved would I still use the chest pain diagnosis? All that is indicated is that the patient is still nauseated, no chest pains and impression is non cardiac.
 
If it is just a normal follow-up encounter, then I would only use nausea as the Dx code. If testing is being done alongside the E/M then I would still use the chest pain to show why the test(s) are being done.
 
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