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Thread: Anemia coding

  1. #1
    Join Date
    Apr 2007

    Default Anemia coding

    AAPC: Back to School
    Goodmorning everyone. TGIF

    Primary care doctor writes his assessment plan anemia along with other diagnosis and refer the patient to hematology. Is it OK to add anemia in ICD 9 coding.He didn't mention on HPI or anyother place in the chart.

    Thank you

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default How does he know patient is anemic?

    How does he know patient is anemic? Are there labs noted?

    Unless someone is using an EHR and dragging old material over, I usually take Dx from the assessment/plan area (might be called impression).

    Would help to see the actual note.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007


    Yes Tessa we are using Electronic chart. I think I am Ok to code anemia.

    Thank you & Have a Nice weekend

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