I was on a Cardio webinar about a month or so ago and this was also discussed. Specifically stated that with "chest pain" that "chest" is not location. Physician must specifiy substernal, left-sided etc
I always have audited with "pain" as the CC and "chest" as HPI location.
When I informed the physicians of this change they just laughed (among other things). I could not find anything from CMS/Trailblazer to back this up. I give high respect to the Webinar speaker and the info she provides, just can't find anything in writing
But I sure don't know how the seminar/class came up with "it does not count as location but as associated signs and symptoms" for Ear Pain. What is the Ear pain Associated to? If ear pain is going to be Assoc S&S then there has to be CC of a different problem. Such as CC of Sinus Pain, Assoc S&S of ear pain
What happens to
Headache---head now has to be left temporal
foot pain---foot now has to be right foot
abd pain---abd now has to be ULQ
So basically they are saying that head/foot/abd are non-specific and no longer meet the HPI element of Location?
So does anyone have anything in writing?
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