tci Part B Insider - 2013 Issue 26

Reader Question: Use 'Feigned Illness' Dx Code When Necessary

Question: Our practice recently had a new patient present with a complaint of severe low back pain.When our nurse practitioner completed the history and physical exam,she suspected the patient of malingering and potentially misrepresenting his complaints to obtain a narcotic prescription. The staff informed the patient of the practice’s required policy of reviewing the prior provider’s notes, a signed narcotic agreement, and random urine drug screen (UDS) testing. The patient declined the UDS and chose to leave; the entire visit took about six minutes. I still need to code for the encounter.What should I...

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