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Monitoring signs, symptoms, disease progression or regression
Evaluating test results, medication, response to treatment
Assessing ordered tests, records & any counseling
Treatment using medications or therapy
Both of these acronyms will help ensure documentation is as specific as possible & helps coders support correct diagnosis codes. When coding for patients being reimbursed under the HCC/risk adjustment payment model, complete assignment of ICD-10-CM codes must be done at the highest specificity.