AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 1; Ask the Editor

Adult Physical Examination with Abnormal Findings

An adult patient diagnosed with hypertension presents for an annual physical examination.  During the visit the patient’s blood pressure is noted to be elevated, and the physician adjusts the antihypertensive meds for better control. Should this visit be coded as an exam with abnormal finding? ...

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