tci General Surgery Coding Alert - 2006 Issue 11

Reader Question ~ Break Down HPI for Maximum Efficiency

Break Down HPI for Maximum Efficiency Question: An internal chart audit of our E/M claims showed that our history of present illness (HPI) levels lessened the rightful service level of some claims. How can we get the most accurate HPI level for each E/M?Montana Subscriber Answer: Getting a full picture of a patient's medical history is a difficult challenge, but one you can meet. These elements go toward determining HPI:Location is the place on the patient's body where the injury occurred (-on the left forearm,- for instance).Context is what the patient was doing when the injury...

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