tci Medicare Compliance & Reimbursement - 2012 Issue 21

Reader Question: Don't Get Too Creative When Counting HPI Elements

Question: Can you give me the total number of elements in the HPI example that follows:70 year-old white male with history of renal colic and abdomen fistula presents with flank (location) pain consistent with prior episodes of renal colic. Patient is a 70 year-old male presenting with kidney stones. Pertinent negatives no chills (associated signs and symptoms), urinary frequency, hematuria, nausea, urgency or vomiting. His past medical history is significant for kidney stones.Answer: There are two clear HPI elements for location and associated signs and symptoms. You could make an argument for adding severity as implied by the...

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