Which conditions should NOT be reported during a visit?

During a visit, conditions that no longer exist should not be reported because they are not relevant to the patient's current health status or the treatment being provided. Proper coding practices focus on the conditions that are actively being managed or treated, which helps ensure accurate billing and appropriate care. Reporting an outdated condition could misrepresent the patient's current medical needs and lead to confusion in care continuity.

Chronic conditions, conditions that require further testing, and conditions without out-of-pocket costs may all be pertinent to the patient's ongoing care and management, which is why they are typically reported during a visit. Chronic conditions can influence treatment plans and require ongoing monitoring. Conditions needing further testing are also essential for future evaluation and management. Finally, whether or not there are out-of-pocket costs does not determine the need to report a condition during a visit; it’s the clinical relevance that matters most.