MnTwins29
True Blue
Pt presented with increased anxiety. Reasons documented are "sad mood" and "worrying a lot more." Pt also has GERD, and this was addressed with Nexium. Physician coded the anxiety as 293.84, stating that the patient was worried because she was having trouble with swallowing due to the GERD. I told the MD she needed to document the connection, and she wouldn't do so, stating "that's the only reason she could be worrying more." So, even if she does document this connection, does this really warrant using 293.84? I would believe that 300.00 would be more appropriate since the pt also has a long history of visits for her panic attacks. Not to mention that if we DID use 293.84, we would have to code the GERD first.
Thoughts?
Thoughts?