C.W. · Emergency
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Encounter (synthetic)
Chest pain, troponin negative ×2, discharged with outpatient stress test.
Assigned codes (ICD-10-CM)
Chest pain, unspecified
No more specific chest pain type documented.
Essential (primary) hypertension
History of HTN noted in HPI.
Review
Reviewer's return note
Note describes pain as pleuritic — consider R07.1 instead of R07.9, and confirm HTN is addressed this visit.
With the coder. Switch to Coder to revise and submit it.
Audit timeline
Every state change and code edit, newest first (PaperTrail).
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Dana Okafor Reviewer returned the chart to the coder
- State
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In review→ Returned - Return note
- Note describes pain as pleuritic — consider R07.1 instead of R07.9, and confirm HTN is addressed this visit.
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Sam Rivera Coder submitted the chart for review
- State
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Draft→ In review
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Sam Rivera Coder added code I10
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Sam Rivera Coder added code R07.9
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Sam Rivera Coder created the chart