Get your urologist to collect the information you need with this handy list.
In Urology Coding Alert Vol. 12, No. 4, you learned how to use history of present illness (HPI) to determine the E/M level reportable for your urologist'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:
Note: Payers that follow CPT guidelines won't accept duration as an HPI element, so don't include it in your HPI count for those claims. See "Scope Out Potential Level 4 and 5 E/Ms By Knowing Crucial HPI Facts" in Vol. 12, No. 4 for more information about CPT and Medicare HPI differences.