I'd like to offer a secret that lives deep in my dark little heart. I am a "Lumper"; hence I don't think it makes a lot of difference exactly what code you use. If I want a lipid panel, for example, is it going to make any difference at all if I code for 272.1, 272.2, 272.3 or 272.4, so why keep track of 4 of them? So, I use relatively few codes, and then amplify on the diagnosis in the assessment section.


David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands