-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Elements of HPI
- Thread starter ch81059
- Start date
I have a similar issue with no HPI, but in my case this is a new patient, to establish care, with no specific concerns. New Pt requires 3/3 Key Components, one of which is History that requires 3/3 HPI,PFSH and ROS...how does one determine level of Hx w/o HPI?
Any thoughts anyone?
Any thoughts anyone?
For ch81059- would need to know chief complaint
for ljgcpcaz- if there is no complaint, there is no diagnosis. Without a diagnosis there is no medical necessity for the visit. You could bill a well visit if pfsh and ros is complete and exam is done. Lburke
for ljgcpcaz- if there is no complaint, there is no diagnosis. Without a diagnosis there is no medical necessity for the visit. You could bill a well visit if pfsh and ros is complete and exam is done. Lburke
MikeEnos
Guest
@ch81059 - self-ambulatory is more of a musculoskeletal review of systems. It would be a stretch to count it as HPI-severity unless the physician is specifically evaluating their gait.
@ljgcpcAZ - sounds like a routine preventive visit, not a new patient office visit. If it's a child use V20.2 and if it's an adult use V70.0 and bill it depending on the patient's age 99381- 99387
@ljgcpcAZ - sounds like a routine preventive visit, not a new patient office visit. If it's a child use V20.2 and if it's an adult use V70.0 and bill it depending on the patient's age 99381- 99387