AmandaW
Guru
This is so coding 101, but yes, still a little gray for me...
Dr says history of diabetes, but is on insulin.
And I see many other examples like that....a history of something, but they're on treatment, so should I code exactly what the Dr. says in his wording like a "history" of it, or code active if they're getting treated (on medicine, etc.)
Dr says history of diabetes, but is on insulin.
And I see many other examples like that....a history of something, but they're on treatment, so should I code exactly what the Dr. says in his wording like a "history" of it, or code active if they're getting treated (on medicine, etc.)