HPI: Patient presents to ED due to fall from 'drinking'. Has shoulder pain.
In the social history the provider gives more details. Drink 3-4 beers a day, uses cannabis, smokes tobacco, etc. Can this social history be pulled into the coding?
Or can I only code alcohol use (Z72.89) since the HPI only states 'drinking'?
In the social history the provider gives more details. Drink 3-4 beers a day, uses cannabis, smokes tobacco, etc. Can this social history be pulled into the coding?
Or can I only code alcohol use (Z72.89) since the HPI only states 'drinking'?