Forum - Questions & Answers

Jun 6th, 2016 - kaphilli2003

Labwork follow up

I'm coding a clinic pt where the chief complaint states follow up for labwork. It then goes on to state the the pt's stomach continues to cramp, has fatigue, dizzy.

My question is do I use Z00.01 since it is a followup and then note the abdominal pain, fatigue, dizzy, as well as the diagnoisi from the labwork that was discussed. Or should I just leave out the Z00.01 and code the symptoms and the diagnosis from the previous labwork done? Should I also use Z71.89 "Other specified counseling" for the fact that the doctor is discussing the pt's labwork?

Thank you!

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