Current Procedural Terminology® defines a self-limited or minor problem as “A problem that runs a definite and prescribed course, is transient in nature, and is not likely to permanently alter health status OR has a good prognosis with management/compliance.” Examples of self-limited and minor problems are found in the table of risk of the Medicare Documentation Guidelines for Evaluation and Management Services (eg, cold, insect bite, tinea corporis). Other self-limited or minor problems often seen in pediatric practice include physiologic jaundice, diaper rash, sore throat without fever, and superficial foreign body in skin.

It is true that only 4 diagnoses are linked to each claim or service line. However, up to 12 diagnosis codes may be included on each claim. The guidelines for reporting International Classification of Diseases, 10th Revision, Clinical Modification instruct that all conditions that are present at the time of the encounter and are managed or...

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