example: pt came in, cc was chest pain. the superbill has a dx of chest pain, depression, hypertension.
I see no notes that the depression or hypertension were talked about. Aren't you supposed to have some kind of note that lead the dr to that dx?
I'm going to sneak in another ? Can a cc really be as simple as "monthly follow up visit"? It seems very vague to me.
Thnx