My dear fellow E&M coders...
Being new to this forum, I feel bad for asking so many questions, but I do appreciate all of you for your assistance. I have been researching and reading all of the E&M information I can find. I think I have a really good understanding of the exam and MDM part. Still having some problems with HPI. Enough of my babbling..... My question now is........
All of the consults I code are for patients who are here for a cardiac consult prior to orthopedic surgery. As far as chief complaint - shouldn't he be documenting the patient's cardiac reasons for the consult instead of something like "Right knee pain with ambulation for the last 3 years. Patient uses a walker. The fact that the patient has an orthopedic problem is not why the cardiologist is seeing her. Am I on the right track? He does document the patient's cardiac problems under past medical history.
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