For example:
Added diagnosis codes L27.0 (generalized skin eruption due to drugs and medicaments taken internally) and T36.0X5A (adverse effect of penicillins, initial encounter) per note.
Per (provider name), ANP, on 5/7/2019, added diagnosis code J06.9 (acute upper respiratory infection, unspecified)
The coders spend a lot of time spelling it all out and I wonder if that extensive of documentation is really necessary. Could the documentation just say
Added diagnosis codes L27.0 and T36.0X5A per note
Per (provider name), ANP, on 5/7/2019, added diagnosis code J06.9
Do we really have to provide the complete description of the code to be compliant?
Thanks for your input.