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Ophthalmology Coding Alert

Reader Question:
Chief Complaint Must Venture Beyond Follow-up

Question: Our ophthalmologist lists the chief complaint for all follow-up visits using just “f/u” – we have never had an issue collecting payment but our coder is concerned that this isn’t compliant. Can you advise? SuperCoder Subscriber Answer: The chief complaint is not thorough enough, and if the physician writes the same thing on every record, he could even be [...]