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admitting dx

  1. Default admitting dx
    Medical Coding Books
    I have an ER doctor that has given me a dx with the word "apparently" in front of it. I am wondering what the coding community has to say about this word. I know that we do not code the dx with possible, questionable or suspected in front of it but have never came across apparently in front of a dx before. Thanks for any help that is given.

  2. #2
    Salt Lake City
    can you pull the ER note and check the signs and symptoms?
    Jenifer McPolin CPC, CPMA, RCC

  3. Default
    Pt was code blue and cpr was in progress. dr is telling me that family called ems when pt apparently had a heart attack. no ROS was available per dr's note.

  4. #4
    I wouldn't code it myself. I would code the signs and symptoms that the provider has documented in his exam. Also if there is any radiology reports that have any findings you can add those diagnosis's.

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