Q&A: Can you code systolic CHF documented prior to admission?
QUESTION: A preoperative history and physical (H&P) dated February 1 includes documentation of systolic congestive heart failure (CHF). The patient is admitted February 10 for surgery, and then discharged February 13 with a diagnosis of chronic CHF, treated with Lasix®.
Can we assign a code for chronic systolic CHF based on the preoperative H&P even though it is dated outside of the inpatient admission?
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