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tci Part B Insider - 2007 Issue 16

8 Key Tips Help You Reach The Right HPI Level Every Time

Understanding each patient's history of present illness (HPI) is key to top-notch E/M coding. If audits show that you-re missing the mark when coding E/M service levels, brush up on these eight areas that contribute to determining HPI:1. Location is the place on the patient's body where the symptoms exist (-the lower back,- for instance).2. Context is what the patient was doing when the problem occurred (such as -patient had lower back pain after standing on his feet all day-).3. Quality represents the chief complaint or signs or symptoms. So if a patient reports with a...

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