I'm interested to see peoples' opinions on this. I have always found this to be really fuzzy. The note in our books tell us that the code for elevated BP is to be used for those that have no formal diagnosis of hypertension or for incidental finding. I can tell you what I do when I see this DX written. Every note stands alone so I code what is written for that particular note. I work in outpatient IM. I know that every office works differently. I do not even get the entire patient chart when I code. I get all the notes for said patient for the DOS I'm coding for stapled to an encounter. I suppose this makes it easier for me to focus on that "stand alone" note.
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