tci E/M Coding Alert - 2017 Issue 10

Reader Question: Discover Which Elements are Needed for HPI

Question: What elements should we look for when selecting the HPI level? Nebraska Subscriber Answer: The history of present illness (HPI) is an element within the history component - one of the three key factors used in selecting the correct level of E/M service. The CPT®  2017 manual defines HPI as "a chronological description of the development of the patient's present illness from the first sign and/or symptom to the present." Obtaining the patient's HPI is an important first step in determining the etiology of a patient's problem, according to Cynthia A. Swanson, RN, CPC, CEMC, CHC...

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