Urology Coding Alert

Scope Out Potential Level 4 and 5 E/Ms By Knowing Crucial HPI Facts

Watch out for CPT/Medicare differences when counting HPI elements. If you're not accurately accounting for the history of present illness (HPI) documented by your urologist, you could be missing out on opportunities to report level 4 or 5 E/M visits. Ensure you're not missing higher-pay possibilities by reviewing this guide to capturing HPI elements. Brush Up on What Qualifies as an HPI Element HPI is one of the three parts comprising an outpatient E/M history. It describes the patient's present illness or problem, from the first sign/symptom to the current status, and typically drives your urologist's decisions about the physical examination and treatment. "The information gathered during the physical exam (PE) portion of a patient's evaluation often only shows a very limited picture of the patient's problem. However, speaking with a patient and gathering the history of the patient's problem can relate the entire picture," explains Amanda S. Stoltman, CCS-P, [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Urology Coding Alert

View All