Results 1 to 4 of 4

"no change"

  1. #1
    Default "no change"
    Medical Coding Books
    Is it ok for a Dr to put "no change" on the progress note for the Dx or do they have to actual list the Dx? Thx!

  2. #2
    Seacoast- Dover New Hampshire
    Default no change
    No change from what? What is the purpose of the visit? What is the chief complaint?. You would need more information to code this visit.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. Default
    I agree. The diagnosis, rationale, or impression for the visit should be on the note. Correct me if I'm wrong but I believe that documenting the diagnosis or rationale is included in the documentation guidelines for E/M. Each progress note should stand on it's own. The diagnoses on the bill or claim form should be supported by what is in the progress note.

  4. #4
    Great, that's what I was thinking...the note should stand on it's own. The auditor shouldn't have to search the rest of the chart to figure out the Dx.

Similar Threads

  1. """Looking for on Remote coding Possition""".
    By in forum Resume Postings
    Replies: 2
    Last Post: 06-15-2014, 10:13 PM
  2. "Double-Dipping" article in "Cutting Edge"
    By ollielooya in forum Medical Coding General Discussion
    Replies: 9
    Last Post: 08-12-2013, 01:59 PM
  3. Trying to code "interstitial prominence" and "peribronchial thickening" using 2007
    By vazquecj in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-10-2010, 07:39 PM
  4. Chief complaints: "URI" / "Flu-like symptoms"
    By phillipmanning in forum Emergency Department
    Replies: 2
    Last Post: 11-23-2009, 10:26 AM
  5. DX for "change in ability to stay upright"
    By Orthocoderpgu in forum Diagnosis Coding
    Replies: 1
    Last Post: 02-20-2009, 12:18 PM

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.