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Chief complaint-I recently read

  1. Default Chief complaint-I recently read
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    I recently read something about the fact that "here to establish primary care physician" is not a valid chief complaint but I can't remember where I read it.

    Does anyone have any information about this issue? Gosh I hope so!

    Thanks so much,

  2. #2
    Default Chief Complaint
    In the Coding Edge June 2009 pg 35 in the box the first statement reads; A chief complaint is a medically-necessary reason for the patient to meet with the physician. If there is no chief complaint the service is preventive and should be reported using a non-preventive medicine code. I hope that helps and maybe this is where you read it.

  3. #3
    Smile CC can be in the HPI
    You can pull the Chief Complaint from the HPI. If your doctor discusses 3 chronic illnesses for example, or states that the patient is "feeling tired". Then choose your level of E/M from the appropriate section based on the rest of the note. Best wishes.

  4. Default
    I have been searching and searching for an answer and hope you can help!

    I am not sure if this is allowable for an established follow up cheif of complaint.

    CC: Feeling Better

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