Your "welwish" is acceptable to some extent. Genarally you cannot take all things that are not put up in the op notes, as assumption; medical necessity , analysing the real merits of the condition with the critical thinking and are also often needed using the more highest specificity of reporting,(when there is adilemma in the assignmentor no straight forward code available; this cannot be labelled as "Assumption Code".
Well, when it occurs in your mind that it means sense, logical, and above all medically necessary, you CAN ALWAYS clarify politely with your physicians who would not have placed all the needed facts in his fast track.,
my posts are often of suggestion values, just to ponder whether acceptible. That is why we come to forum to discuss.
well I am not for arguement any more.
Any way thank you for a valuable info