Forum - Questions & Answers
Determine preventive vs sick visit
Good Morning,
I have a patient who wants to establish with a provider. Her chief complaint is "generalized complaints." The HPI starts with "pt here to establish care" and then describes some past problems (hypotension during colonoscopy) and some new/chronic problems (joint pain, COPD). The provider does not elaborate on any problem. A comprehensive ROS and exam is done. The assessment says to stay on current treatment, but does order a test. Should this be a preventive visit? I have been told to check what is documented in the CC, but I am not sure about this visit.
Thanks!