Wiki Anticoagulation Therapy Management

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SUEV

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When a patient has stable afib and is on appropriate anticoagulation therapy so requires no changes, is this credited as 1 diagnosis point or 2? The provider has been told he would get credit for the questions he asks about the Coumadin so it would be treated as a separate diagnosis. Since it's a treatment for the afib that the provider is managing, I believe it's part of the management of the problem and not given a separate diagnosis point (like insulin for a diabetic). Does anyone have any opinions or guidance on this issue?
Thank you,
Sue
 
I would say that it really depends on how it is documented. If the provider is assessing and managing the atrial fibrillation (e.g. reviewing an EKG, adjusting rate control medications, etc.) and is also managing the anti-coagulation (evaluation the lab work), then there is arguably a higher level of MDM involved than if they are just doing one or the other.
 
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