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TUTORIAL How to Code a Physician Office Record Cengage  Form

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so first listed code is a condition that is chiefly responsible for the encounter as documented by The Physician and that first listed code it can be a symptom as long as there's not a confirmed diagnosis by The Physician secondary and additional diagnosis are coexisting diagnoses that are treated they're medically managed or they have an influence on the treatment of the patient chronic conditions may be reported as many times as a patient receives treat M and or care for those conditions and then history codes may be reported as secondary diagnosis as long as that history condition has an impact on the current care or influences treatment so maybe an example patient has COPD as a chronic condition and they're dependent on oxygen the coder is going to need to pick up that COPD and that dependent oxygen code say also for family history patient presents with chest pain and there's also a family history of heart disease documented the coder is going to wan

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