1995 vs 1997 History Documentation

maine4me

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I am trying to put together some E/M coding guidelines for our family practice physicians, and I have read some information that differs from what I understood.

I understood that the 1995 require reporting any of the 8 components of HPI based on the patient's account of the presenting problem(s), and that the 1997 have this requirement, but also allow for the reporting of the status of 3 chronic conditions in order to reach a extended HPI.

In my research, I have found that other coders/trainers are training physicians that the 3 chronic conditions option is allow for either the 1995 or 1997 guidelines.

Would someone please clarify this for me?
 

Love Coding!

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Laveen, AZ
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I am trying to put together some E/M coding guidelines for our family practice physicians, and I have read some information that differs from what I understood.

I understood that the 1995 require reporting any of the 8 components of HPI based on the patient's account of the presenting problem(s), and that the 1997 have this requirement, but also allow for the reporting of the status of 3 chronic conditions in order to reach a extended HPI.

In my research, I have found that other coders/trainers are training physicians that the 3 chronic conditions option is allow for either the 1995 or 1997 guidelines.

Would someone please clarify this for me?
Good morning,

Who is your Medicare Intermediary? I would start from there..
 
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