tci General Surgery Coding Alert - 2010 Issue 7

Clip and Save: Use These Questions to Capture HPI for Full Reimbursement

Get your physician to collect the information you need, with this handy list. In the previous article, you learned how to use history of present illness (HPI) to determine the E/M level reportable for your surgeon's services. Now, take a look at this checklist to help determine the HPI level a service meets. When counting elements of HPI, check to see how many of these eight questions your urologist answers in the notes: 1. What is the location of the problem? (location of pain, mass, or organ involved) 2. What is the quality of the problem? (nature of the...

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