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Wiki Dx coding the op notes

Thread starter 1073358
Start date Jan 19, 2015

Create Wiki

1073358

Expert

Jan 19, 2015

When you are dx coding the operative note, is it appropriate to use other documentation from the record to support your coding? example- can you use data from the HP, office notes, Xray reports to help support if acute vs chronic, accident related vs not, etc?

Links to documentation/ proof of this?

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