andrewsdiane@comcast.net
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In order to code a fever or count it in the HPI as severity and in the MDM does it have to be over 100.5? Thank you
At the end of the day we are coders, not clinicians. If the doctor's diagnosis is fever, who am I to say different? They went to med school, saw the patient, and applied their best clinical judgement to come to that conclusion. It is our job to code the records as they have documented it, not to apply our lmiited (at best) clinical knowledge.