I would say that if there isn't a diagnosis then you could the primary icd9 to be the sign or symptom. The only way you can code from history is if the reason they are seeing the patient has to do with a condition that is in the family history or is socially related. Say that patient is in b/c they felt a lump in breast and the conculsion was that it was probable for cancer and there is a family history of it then you would use the vcode. If I am wrong someone please help.
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