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Up Arrow Indicating Elevated Cholesterol

  1. Default Up Arrow Indicating Elevated Cholesterol
    Medical Coding Books
    A recent audit pointed out that, per Coding Clinic, we cannot code 272.0 if a physician writes an up arrow preceding cholesterol as a dx on a lab order. We cannot find the CC citation for this. Please reply if you know.
    Thank you for your time.

  2. #2
    Location
    Greeley, Colorado
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    This is true...an "up arrow" is NOT an approved "abbreviation" and is a very bad habit doctors have developed. I do not have the documentation unfortunately, but know this is a true statement. If someone can provide that supporting documentation it would be wonderful! One question - was this an outside audit? Could they not provide the supporting information?
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Location
    Duluth, Minnesota
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    Well, I too thought it was a rule to "not" use the arrow signs up or down however: here's the joint commision list link - the arrows aren't on it...hmmm??? now I wonder...
    http://www.jointcommission.org/NR/rd...0/dnu_list.pdf
    Donna, CPC, CPC-H

  4. #4
    Location
    Greeley, Colorado
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    Donna - great link but I think this only applies to medication orders, not diagnosis coding.
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Location
    Duluth, Minnesota
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    1,133
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    oh, yes it is! Thanks Lisa
    Donna, CPC, CPC-H

  6. Default
    Yes, it was an outside audit. Thanks for your input.

  7. Default arrows in doccumentation
    here is a lnk for coding clinic, page nine has the reply to this question

    http://www.hcpro.com/content/270021.pdf
    Last edited by sbomar; 04-04-2012 at 07:30 AM. Reason: added the link

  8. #8
    Default Arrow for High Cholesterol
    We have a chart that is a handwritten chart and in PMH shows and arrow up for High Cholesterol and in assessment is shows an arrow up Chol and states on Statin. Since he is showing treatment for High Cholesterol can we accept the arrow up and code high cholesterol? I can not find any other documentation but hope that since the statement showing he prescribed a med for high cholesterol is enough to accept it. We can not Query the physician. Any Thoughts? Thanks!

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