tci Part B Insider - 2009 Issue 19

READER QUESTION :Count HPI, Or Risk Choosing Wrong E/M Level

Check how many of the essential eight questions your physician answered in his notes. Question: I am having some trouble understanding the elements of history of present illness (HPI). What exactly are the HPI elements, and why do coders have to count them? Answer: You need to count the HPI elements because they are an important part of the history component of E/M services. A brief HPI consists of one to three elements, whereas extended HPI requires fourplus elements. The physician must perform an extended HPI in order to satisfy the requirements for a detailed or comprehensive history. Extended...

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