Medicare Box 14 date

[KARREN]

Can someone please clarify box 14 Medicare.. 

Medicare part b only
Box 14   Is the date you 1st seen the patient for that condition, that condition is  the diagnosis in box 21 (First dx)

Scenario
Dos 8/23/13  fee slip with dx 726.0,723.3,724.4,728.85    box 14 date= 8/23/13. 

Dos 10/28/13 fee slip with dx 724.6,722.52,724.6,728.85  box 14 date changes to 10/28/13.

Dos 11/6/13  fee slip with dx 726.0,723.3,724.4,728.85  box 14 date changes back to 8/23/13, since the patient was 1st seen for dx 726.0 on 8/23/13..    ***Please confirm box 14 date ?=is it ok to go back to  date 8/23/13 or should I just update it to 11/6/13. 

[Michele]

I wish it was that easy.  The problem is was the 726.0 from the 8/23/13 resolved and then reappeared on 11/6/13?  Or did the patient still have the 726.0 for the entire time?  If the patient basically was relieved of the 726.0 and then it reappeared I would consider updating to the 11/6/13 date for box 14.  BUt if they suffered from the 726.0 from 8/23/13 - 11/6/13 then I would still use the 8/23/13 in box 14.

Did I help or make you more confused?   

[KARREN]

you helped.  Thank you so much, I appreciate it..

[Sriram_Sub]

The problem is was the 726.0 from the 8/23/13 resolved and then reappeared on 11/6/13?  Or did the patient still have the 726.0 for the entire time?

Hi Michele! That makes sense. But just wanting to know if the provider would need to record on Notes for Service date 10/28/13 that the DX 726.0 was resolved. Does he have to?

[Michele]

I would think that the notes should indicate if the patient was complaining that the 726.0 was still bothering them, or if they had a recurrence or exacerbation.