Wiki Outpatient clinic coding-risk factors

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shepherddl

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Want your opinion. Clinic note says


780.79 Generalized weakness due to risk factors for CAD (HTN, hyperlipidemia,DM)- feel she needs cardiac evaluation.


Am I correct that I can only code the weakness, HTN, HLD, and DM? I can't code CAD right, since it is only risk factors?
 
hi,
I feel you are absolutely right. CAD is not needed to code, as it is not yet evaluated.
 
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