I am looking for clarification on coding PMH on ED patients- I am a CPC, and currently taking the accelerated COC program. While in this program part of my training is to do on the job training. I also want say my present job is to code the professional side of the ED, but during my COC training I am coding the facility side.

I personally do not code the patients PMH unless the provider mentions it in the note or if it has an influence on the patients care at the time of service. Accounts that I have coded during my training get placed on hold, reviewed sent back to me with either an ok to release or corrections needed. with that being said, the majority of the accounts that get sent back I am being asked to code the PMH and medications. I have found several pieces of documentation to further back up my claim why I don’t code the PMH and have been told; 1. " I should code what my mentor tell me" 2. "I would rather take guidance from the Coding Clinics themselves, as issued by a collaboration of CMS, AHA, and others, rather than a company that sells interpretations of the guidelines."

I am at the end of my rope and am ready to just drop out of this program and go back to my ED professional coding.

The articulars I included in my emails were from; " ICD10monitor" Erica Remer, MD FACEP, CCDS "coding Chronic Conditions" 1/2018
HCPro "Understand diagnosis coding to protect against auditor scrutiny" 2/19/2009
ICD-9-CM Coding Clinic, Third Quarter 2008 Page: 14 to 15 Effective with discharges: September 19, 2008 – this one is regarding coding medication usage

I would appreciate any advice.

thanks so much.

:confused: