General Coding:
Be Specific, Not Leading, in Query
Published on Tue Feb 25, 2025
Question: In a recent encounter, a provider documented that a patient had a patient-health questionnaire-9 (PHQ-9) score of 14, which usually indicates moderate major depressive disorder. The provider also documented the patient having more severe symptoms and adjusting their medication accordingly. However, the provider documented a diagnosis of mild recurrent major depressive disorder. If I query the provider to ask [...]