But how can you bill that?
Inconsistently, (it isn't always a problem) when this comes up I write the problem in the box for medical history, with the date of onset. Then I copy and paste the ICD of the ridiculous Dx that I am forced to use for billing. (Blah-Blah not otherwise specified etc.) That allows me on future visits to glance to the left side of the chart and find the condition, and see immediately what I called it, and what code to pull up for the bill.
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Martin T. Sechrist, D.O.
Striving for the "Outcome Oriented Medical Record".