NAMCS Symptom Codes

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	NAMCS Symptom Codes

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NAMCS Symptom Codes

Special concerns arise when a patient's complaint lacks visible, or measurable symptoms. For example, a mass on an x-ray can be seen, a blood pressure reading can be recorded, but upset stomach, belching, decreased appetite, nausea, decreased energy, moodiness, sleeplessness, irritability, or confusion, cannot.

Most cases of upset stomach, decreased appetite, moodiness, depression, and such are treatable, but how do you assign codes to these symptoms and show medical necessity to get reimbursed, when no visible, or measurable record of the patient's complaint exists?

The NAMCS symptom classification consists of two major divisions-the tabular list of inclusive terms and the alphabetical index of terms. The tabular list consists of 13 classes that are further divided into individual categories. The inclusions are the symptomatic terms contained within these categories (called rubrics).

The inclusive terms are not meant to be a complete listing for each category, but they are used rather to give a general idea of the symptoms contained within each category.

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