Nov 22nd, 2016 - sylviamccaw
Must the diagnosis be put in a chart each time a patient comes in?
Mar 5th, 2018 - ChrisW 256 1
re: Diagnoses coding
Yes, a diagnosis must be documented at every visit along with the reason for the encounter or Cheif Complaint along with any findings. This is the reason for the progress note, you need to document the purpose of the visit, the illness. development and treatment.