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Query about adverse effects Common Coding Errors and How to Avoid Them After reviewing thousands of syncope cases, these are the errors I see repeatedly: Error 1: Coding R55 for Near-Syncope Wrong: Patient reports "almost passed out" Coded as R55 Right: Patient reports "almost passed out" with no documented LOC Code as R42 How to avoid: Always verify loss of consciousness is explicitly documented before using R55 Error 2: Using R55 for Historical Episodes Wrong: Patient seen for diabetes follow-up, mentions syncopal episode 3 months ago Coded as R55 Right: Same scenario Code as Z86.79 (if mentioned at all) How to avoid: Ask "Is this condition present TODAY during this encounter?" If no, it's historical