jvalntine
Guest
Could some one clarify if a seperate note needs to be documented for a procedure performed on the same day as a visit.
I have a doc who did an Initial Inpatient Admit, and during the course of the exam did a incision of soft tissue abscess (20000). Should the procedure be documented in a seperate dictation. This doctor documented in the Exam portion of the H & P, and is reporting a mod 25 for the H&P 99223. I requested that he document the procedure in a seperate note. Is this correct?
JV
I have a doc who did an Initial Inpatient Admit, and during the course of the exam did a incision of soft tissue abscess (20000). Should the procedure be documented in a seperate dictation. This doctor documented in the Exam portion of the H & P, and is reporting a mod 25 for the H&P 99223. I requested that he document the procedure in a seperate note. Is this correct?
JV