65.006 Documentation Guidelines for Followup Codes


Documentation Guidelines for Follow-up Codes: Duplicate medical record documentation is unnecessary in an admission history and physical examination. Medical decision making should be the only level of documentation required for any subsequent follow-up coding documentation for an admission history and physical examination (Resolution 29FF, p 161J, A-98; reaffirmed CHSO Rep. 1-A-08; reaffirmed CHSO Rep. 1-A-18).

Last Updated On

August 20, 2018