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Thanks for your response. I agree that primary conditions like asthma, emphysema and bronchitis explain why they maybe having breathing difficulty. However, sometimes the run sheets only indicate a history of the above or they are absent altogether from the report. For example, the call...

Hi, I need your expert option. I was an EMT years ago. But now work in the billing office submitting ambulance claims to Medicare. Allot of coding people, prior to my arrival, code any sign of breathing difficultly as Acute Respiratory Distress (ARD). This includes SOB and Resp Distress. I...