Question

You have just received a report from the doctor's assistant that designates the diagnoses, treatment, and lab work that was completed. However, when you attempt to match the diagnoses to the ICD10 convention, you find that you are missing some of the details. When you ask your fellow worker what you should do, she states that you should just use the generic or general codes rather than worry about being too specific. What would you do? How do you handle this situation?

Answer 1

In the medical related conditions it is very important that we get all the informations and adequate informations related to the patients condition and that we should not handle things hastily.

We should always be specific about the patient and as it is related to the people's health we should never settle for the less. Hence, I would not settle with other things rather I would try to talk to the assistant of the things that has been missing and try to explain the situation to him. If the assistant will not be able to recall the informations than it is important to talk to the physician himself to gather the remaining informations for a providing proper care and treatment to the patient. P