AHA Coding Clinic® for ICD-9 - 2005 Issue 3; Ask the Editor

Coding and Physician Orders

A patient with several chronic debilitating conditions is admitted to a long-term care facility. The physician makes a telephone order for anti-depressive medication. There is no mention of depression in the health record documentation. Would it be appropriate to assign a code for depression based on the phone order for antidepressants? ...

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