Results 1 to 2 of 2

diagnosis section vs plan section

  1. #1
    Default diagnosis section vs plan section
    Exam Training Packages
    Our physicians are creating a diagnosis section separate from a plan section. The diagnosis section only contains two or three of the actual diagnosis. The plan section is littered with diagnosis however, it is titled "plan". Can we code from "plan" as well as the diagnosis sections?

    this is an example of what we are seing.

    diagnosis
    chest pain
    copd exacerbation

    plan
    acute copd exacerbation
    severe cough
    lll loss of volume
    -oxygenation stable
    -contin advair
    -prior hx...
    -cont meds
    -d/c med
    UTI
    -levaquin
    Chest Pain 2' cough
    -antitussive...prn
    Hypothyroidsm
    Tachycardia
    -EKG
    Hyperglycemia
    -likely ...

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default Diagnosis
    I would just code what is in the diagnosis section. It seems that the physicians are trying to specifically identify the condition(s) being actively treated/managed at this visit.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Frozen section diagnosis
    By KDGBNG in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 02-23-2012, 09:54 AM
  2. Intraoperative Consult with Frozen section and Permanent Section - Is it acceptable t
    By csalazar26 in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 11-02-2010, 12:37 PM
  3. Is TIUP a billable diagnosis for C-Section?
    By agalindo in forum OB/GYN
    Replies: 1
    Last Post: 08-27-2010, 04:45 PM
  4. Labor to C-Section diagnosis codes
    By vanessa10 in forum Anesthesia
    Replies: 5
    Last Post: 05-11-2010, 09:48 AM
  5. Radiology Section vs Medicine Section
    By domress in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 04-26-2010, 12:04 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.