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Help! Diagnosis coding

  1. #1
    Question Help! Diagnosis coding
    Medical Coding Books
    I find there are physicians documenting the following for final diagnosis. Please give your opinions on what code would be appropriate.
    - croup symptoms
    - gastro symptoms
    - seb derm rash
    - scenario where the a 3 day old baby is brought to the clinic for weight check after newborn H&P 3 days diagnosis would be good weight gain.
    - chest pain radiating to back, neck and shoulder.

    Give opinions..Please!!

  2. #2
    North Carolina
    I'll give my 2 cents...

    croup 464.4
    gastro symtoms-too vague (vomiting, diarrhea, abd pn., reflux??)
    seb derm rash 690.10
    weigh check V20.2
    chest pain 786.50
    Rebecca CPC, CPMA, CEMC

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  3. #3
    Greeley, Colorado
    Stating "symptoms" is too vague. I would look at the CC/HPI and see what was documented there...perhaps the actual "symptoms" are there.

  4. #4
    Hi there!

    Thanks Rebecca..that was helpful...

    Thanks to Lisa too!! I know symptoms is too vague...but to put it generally..My concern was whether to code to symptoms or to the condition itself in such situations..!!?

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