I have a question I am hoping for some input on: We use electronic medical records. Physicians assign a diagnosis code/codes for every visit electronically. I have a physician that frequently assigns diagnosis codes to established patient office visits that are not stated within the current office note dictation. The physician states symptoms that could be associated with the assigned diagnosis but never states the assigned diagnosis within the dictation. The physician has assigned and stated the diagnosis at a previous visit and continues to use this diagnosis for all follow up visits. Would you require the physician to change the diagnosis code to the symptoms since they are never stating it within their dictation?