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chart

S
Wiki Pulling from Problem List

I know a diagnosis code can be used if problem is documented on or before the date of service, but how far are we able to go back into the patient's chart for this information?
- SavannahMor
- Thread
- Jun 14, 2022
- chart diagnosis coding documentation repeat problem time
- Replies: 3
- Forum: Diagnosis Coding
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Wiki 99172

May a 99172 be used for administering the visual test using only a eye chart and color chart?
- RAjones
- Thread
- Feb 19, 2016
- 99172 chart color eye test
- Replies: 1
- Forum: Family Practice
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Wiki Does it need to specify the DOS?

I'm confused. I thought each sheet of the chart needs to have a DOS on it, and it needs to specify that the date is the DOS, by stating "DOS", "Date of Service", "Date of encounter".... Basically, it can't be a "lone" date on the chart without the words "DOS", "Date of Service", etc...? Is that...
- LoveAndLight
- Thread
- Feb 8, 2016
- basically chart date dos service
- Replies: 0
- Forum: Medical Coding General Discussion
K
Wiki Use of Acronyms in Chart Notes

Good Afternoon! I am wondering if anyone out there can help me. I work in a clinic that has a unique range of providers, we have A&D Counselors, Mental Health LCSW's, MD's, PA's, ARNP's, Dental and Pharmacy. Because we have such a range of providers, we have many different styles of notes that...
- Kristen Bensel
- Thread
- Feb 3, 2016
- acronyms chart notes providers range
- Replies: 2
- Forum: Medical Coding General Discussion
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Wiki coding from chart notes

Our doctors push ICD-10 codes that show up on the chart notes. If he pushes a pain code but the body of the notes state patient has a sprain, etc. I have been coding the sprain or fracture or whatever based on the dictated note not on the code he pushes. ??? Anybody else have issues with this.
- jovibon110@gmail.com
- Thread
- Jan 20, 2016
- chart code notes pushes sprain
- Replies: 4
- Forum: Orthopaedics
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Wiki Child Abuse diagnosed as an adult

Our PA recently saw a 54 year old women who recently discovered that she was sexually abused as a child for approximately two years. The PA coded the note with T74.22XA (Confirmed victim of sexual abuse in childhood, initial encounter) since the diagnosis was new to the patient's chart and to...
- LeaHarris
- Thread
- Jan 19, 2016
- chart child diagnosis patients raped
- Replies: 1
- Forum: Family Practice
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Wiki Medical Coding Chart Fees?

Please advise as to the average fee for coding an individual medical record or chart, internally or as an outside agency. Thanks.
- sassy1169
- Thread
- Jun 28, 2007
- chart coding individual medical record
- Replies: 3
- Forum: Medical Coding General Discussion
J
Wiki Chart Auditing

How ofton should you do chart audits, twice a year? How do you select what charts to audit? I am looking for a good starting point. Thanks, Jeannie Hortman CPC
- JEANNIEHORTMAN
- Thread
- Jun 20, 2007
- chart cpc-medical-coder hortman jeannie starting
- Replies: 2
- Forum: Medical Coding General Discussion

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