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tci E/M Coding Alert - 2016 Issue 9
Reader Question: Focus On Insurer With HPI Counts
Question: Could you explain the basics of history of present illness (HPI) coding?
Indiana Subscriber
Answer: When you are poring over encounter notes looking for the portions of an E/M service your physician provided, be sure to focus on the patient’s history of present illness (HPI). This is the further description of the patient’s current condition or symptoms. During HPI, the physician will ask a series of questions to determine the best course of treatment.
There are two types of HPI: brief and extended. You cannot code for higher-level E/Ms without an extended HPI. Get to know...
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