LMOuellette
Networker
Hello, I am looking for some guidance. I work in a multi-specialty practice and we have a Pain specialist on staff that does procedures such as epidural, nerve blocks and RAF. My question is, he does not feel as though his notes for these procedures warrant an HPI and ROS b/c he does not add a level of visit to the note. My understanding from school as a standard, all notes should have an HPI and ROS regardless of what service is rendered. Can someone please advise on this and tell me where I can find documentation to support it. Thank you from a frustrated not yet CPC.