Hayley_Sutton
Contributor
Physician saw the patient for their screening consultation. Patient complained of constipation, but stated it was due to her new low carb diet. In the office note, the physician states the constipation is not an alarming symptom and therefore, recommends a screening colonoscopy.
Because the constipation was mentioned in the HPI, Review of Systems, and it was mentioned as a non-alarming symptom in the impressions, should constipation be reported on a claim?
I am billing for the visit as patient is also having an EGD for dysphagia. My dilemma is: I am thinking if I report this code on the claim this will override the screening code even if it is not listed first. But, even though the physician is not treating it, it still needs to be reported just like I would if the patient has COPD or something else.
Help!!
Because the constipation was mentioned in the HPI, Review of Systems, and it was mentioned as a non-alarming symptom in the impressions, should constipation be reported on a claim?
I am billing for the visit as patient is also having an EGD for dysphagia. My dilemma is: I am thinking if I report this code on the claim this will override the screening code even if it is not listed first. But, even though the physician is not treating it, it still needs to be reported just like I would if the patient has COPD or something else.
Help!!
