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Secondary Diagnoses - Sheri
Posted: May 04, 2010
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/c she doesn't use the actual numbers, I'm not entirely sure the last part of that belongs on the first line. Any ideas?
Thanks!
It is a completely separate diagnosis - Give it a number
[ In Reply To ..]Then put your blank. The second part of the sentence after the has nothing to do with the first part.
I work in QA at my company and this is how we would handle it here.
Thanks! One last question... - Sheri
[ In Reply To ..]As I said, I've never transcribed diagnoses that include the treatments. Should I separate them with a period, comma, or a semicolon? For instance, "History of renal insufficiency, status post right nephrectomy for renal cell carcinoma." Is that correct with a comma or should it be something different?
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