A patient was admitted with dizziness and headache. A CT scan of the brain showed an area of ischemia. The patient's NIHSS registered at 26. The patient was discharged two days later with a diagnosis of dizziness. What does the documentation suggest that is not provided in the diagnosis and what should the coder do?
a. Cerebral aneurysm-use the CT results to identify the specific area
b. Carotid stenosis-query the physician
c. CVA-query the physician
d. Cerebral hemorrhage-use the CT results to identify the specific area
