should this be 2 diagnoses?

DIAGNOSIS: BILATERAL SECOND METATARSALGIA WITH HAMMERTOES TWO THROUGH FOUR ON THE RIGHT, AND HAMMERTOES TWO ON THE LEFT TIA. ...

1. CALCANEAL CYST 2. PERONEUS BREVIS AND PERONEUS LONGUS TEARS 3. STATUS POST EXPLORATION OF THE PERONEAL TENDONS WITH DEBRIDEMENT AND REPAIR OF BOTH PERONEUS LONGUS AND PERONEUS BREVIS TENDONS, AND DEBRIDEMENT OF CYST IN THE CALCANEUS tia. Sorry for all caps but that is how we are suppose to type it. ...

LEFT LATERAL ANKLE LIGAMENTOUS INSTABILITY PERONEUS BREVIS TEAR METATARSALGIA TIA. ...

I need help with using numbers in diagnoses. If it is dictated as: 9 cm abdominal aortic aneurysm, do I spell out the number 9 or start the diagnosis with using the number 9? I have not found a rule for it in the usage of diagnosis. ...

Doing a list of diagnoses ~~ History of s/l "tynaopades" HELP!! Thanks!! ...

would this be one or two? tia. DIAGNOSIS: STATUS POST CHEVRON BUNIONECTOMY, FOURTH HAMMERTOE CORRECTION ...

DIAGNOSES: 1. LEFT ANKLE SPRAIN 2. POSTERIOR TIBIAL TENDINOPATHY tia. ...

Crush injury, right foot fracture of metatarsals tia. ...

nonunion of the fifth metatarsal, avulsion fracture should this be 2 separate diagnoses? tia. ...

Left shoulder impingement syndrome Small partial rotator cuff tear Tia. ...

I'm having a problem with this part of the diagnosis as she doesn't specify to go on to the next number, as she does with the rest of them, but I've never had someone that adds the procedures used to fix the diagnoses in this section. This is the sentence as she says it, "1. Coronary artery disease, status post 3-vessel CABG in ___ vertebrobasilar insufficiency." The she says "number next" and goes on to the next one. Because the previous word(s) are blanked out, and b ...

I'm having what is probably a simple problem w/ this dication. She starts out with the principal diagnosis, lists them, and then goes on to what s/l hyograph other diagnosis. I can't tell what she is saying. ...

New to psych transcription. For Axis I diagnoses, if we are to number the diagnoses (1, 2, 3, etc. does a "rule out" follow the diagnoses before it or does it get its own number? Thanks! ...

I know when there are more than 1 diagnoses, you list each one separately. How do you handle it when the dictator gives 4 separate diagnoses, then "etiology to be determined" at the end? List everything under 1 dx, or list "etiology to be determined" as a separate dx? Thanks. ...

I am doing a DS. I can't believe this has never come up before (or I've forgotten!) - When typing LAVH-BSO on the diagnoses, can I use LAVH-BSO or do I need to spell it all out? I would think LAVH-BSO would be more readable, but I know the rule is to spell it out. I'm trying to be practical here, but it may come back to haunt me. Thanks ...

Why the constant slang and abbreviations in diagnoses and impressions? Especially when it could mean more than one thing ( for example I and D) and it cannot be gleaned from the record. Are these clinicians lazy or what. I think there should be stricter guidelines for those dictating, rather than placing the call on the MT. I know I am preaching to the choir so to speak, but it is really getting on my nerves... ...

Do you spell out every little thing, including PICC line and IV, or is that just such common knowledge? I'm already expanding MRSA, but I wonder about common abbrev. ...

Is it written somewhere how to type diagnoses when the code is given first? Axis I: 301.82 Depression, not otherwise specified. (This code and diagnosis might not be accurate but just an example.) Do you put a dash between the code and diagnosis, or a comma after the code and little "d" in depression? or two spaces with capital D for depression? ...

When a patient is pregnant, she undergoes important alterations in acid-based, electrolyte, and renal function due to pregnancy-associated physiologic changes in renal and systemic hemodynamics. That means she might be susceptible to conditions such as albuminuria, nephropathy, uremia, and gestational proteinuria, Your inputs on it? ...

Can someone tell me the correct way to type the Axis I through Axis V diagnoses part of an eval/progress note? I need to know the spacing, tabbing and punctuation. For example: Axis I: 315.00 Reading disorder Axis II: V71.09 No diagnosis on Axis III: Axis IV: &nbs ...

should this be 2 diagnoses? - unsure

sorry about the spelling error...scaphoid - unsure

2 diagnoses - anon

Thank you. - unsure

Similar Messages: