ok, I have a doc who doesn't do much in the way of documentation (yes, they've been counseled multiple times) and they've hit a new low. nurse documented "pt doing better on nexium and had duodenal ulcer biopsy done." doc didn't document ANY hpi, ros or exam...only the dx and ordering the scope and meds...is this codable at all? maybe an unlisted E/M?
Thanks!
Thanks!