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Is grossly normal acceptable?

  1. Default Is grossly normal acceptable?
    Medical Coding Books
    Using 1997 guidelines, is "grossly normal" acceptable for all elements for all bullets for that particular area/system?

  2. #2
    Quote Originally Posted by ksiegler View Post
    Using 1997 guidelines, is "grossly normal" acceptable for all elements for all bullets for that particular area/system?
    If they refer to specific anatomy listed in a bullet, then I'd said yes, but if it's a blanket statement, I wouldn't count it. I run into 'Normocephalic' and 'Within normal limits' frequently. 'Normocephalic' is too vague for me to assign a bullet, but I'll count the latter if it's in reference to something direct. You only need to show that they examined the criteria of the bullet to count it; not that they found a specific problem with it. I don't think it's necessary to document the bullets word-for-word, to accomplish that.

    Hope that helps!

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