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ICD 10 Coding Alert

Reader Questions:

Query Physician When the Record’s Unclear

Published on Tue Dec 08, 2020

Question: We saw a patient who presented because she was concerned that she may have COPD. The physician circled the COPD diagnosis on the superbill, but we don’t see anything about confirmed COPD in the chart. What should we do? Connecticut Subscriber Answer: In this case, you should query the physician, and if they confirm that COPD was not confirmed, [...]
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