A lot of my visits are new problems with a work up. Then very often sent onto the ER for the differential dx’s indicated in the MR.

#1 With this being said one example a pt comes in with abdominal pain, lets say some labs were done and and exray. Mr says sends pt to er for further evaluation. then shows differential dx of poss appy, etopic pregnancy.

Can I used those differential dx in the urgent care in my mdm or only the abdominal pain??? How would you guys score this for a new pt and for an est pt.? (any links to support would be helpful)

#2 pt comes in with chest pain, sent to the Er. MR states chest pain differential dx of MI. exray done. How would you code this for new pt and for est pt.

Thanks
Ginger, CPC, COC