If a patient admits with numerous problems, traumatic brain inj, bone fracture, hypertension, DM, to a rehab institute and you provide the intial admission with the patient problems, do you need to continue submitting all of them unless there is a problem? Because our system only can utilize 4 dx the subsequent visits present a problem.
Example 99223 admit DX 854.00, 719.45, 401.9, 250.00, V57.89
Subsequent visit, 99232 per documentation w/no new problems, 854.00
but the resident and physicina are monitoring all of the problems patient had when they were admitted and is documented. Do the other 4 dx need to be used?