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hypertension coding
A patient with hypertension came to office with symtoms which is not related to hypertension but the doctoer documented hypertension. In this case, do I assign hypertension ICD-9-CM code in addition to the code for symtoms?
Thanks in advance
re: hypertension coding
did the physician just list it on the problem list or list it in the assessment?
If in the assessment: Hypertension, good control, continue current meds.
Or even: hypertension: no changes to plan
then I believe the physician addressed the condition at the unrelated visit (which is not unusual) and I would report the hypertension as the second diagnosis on the claim form.