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New problem or estblished problem to examiner

  1. #1
    Default New problem or estblished problem to examiner
    Medical Coding Books
    I have a pt who has been in the hospital ER three times. Each time she has had to be admitted for a surgery to her ankle. My question is - Is she considered a new problem to examiner or an established pt for each new time she has reinjured herself?

  2. #2
    Milwaukee WI
    Default New injury = new problem
    In general, a new injury equals a new problem. HOWEVER ....

    If this is three trips in three days, this may be a re-occurring problem, vs a new injury.

    I would have to see all the notes and check the time line to be certain.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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