Results 1 to 2 of 2

Help w/CC

  1. #1
    Default Help w/CC
    Clearnace Sale
    Dr. list no cc: HPI reads no new complaints, no headache, no dyspnea, no urinary symtoms, missed last apt.
    ROS states intake records indicates "problems" hypertension uncontrolled", can this be used as CC.
    This documentation is taken by someone other than the phys.

    Thanks in advance.

  2. #2
    Milwaukee WI
    Default No complaint
    If there's no complaint I would assume it is a preventive visit.

    If it's an established patient you might still be able to code with just exam and MDM. But EVERY note should have a chief complaint (even if that is "F/U for HTN")

    If something is listed in the ROS you cannot use that as a chief complaint. No idea when that problem occurred.

    Also the HPI (including chief complaint) must be taken by the physician. ROS and PFSH can be taken by anyone.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.