A CDI audit reveals that a complication of care was documented and coded but the physician's note only states 'patient developed fever post-op — likely viral.' What should occur?
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A
Retain the complication code since a fever was documented
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B
Query the physician to clarify whether the fever represents a complication or an unrelated condition
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C
Remove the complication code and assign only fever
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D
Report the coder to the compliance officer