tci E/M Coding Alert - 2019 Issue Q4

Reader Question: Know Guidelines to Calculate HPI With Elements or Chronic Conditions

Question: When counting E/M history, can we use chronic medical conditions in place of elements to qualify for the history of present (HPI) illness tally? New Hampshire Subscriber Answer: This is where the 1995 and 1997 guidelines get muddied. If you are using the 1995 guidelines, counting the HPI based on the number of chronic conditions is not acceptable. Under 1997 guidelines, however, you can use the status of one to two chronic medical problems instead of one to three HPI elements, and the status of three chronic medical problems instead of four or more HPI elements. But whichever...

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