Greenpiper
Contributor
I have been unable to find information regarding when CC and HPI do not have anything in common. Everything I read states the CC is a medically-necessary reason for the patient to meet with the physician and HPI should explicitly describe the chief complaint. I believe the CC is medically necessary but it has nothing in common with HPI. So what to do with this CC/HPI? Would querying the provider even be appropriate since it has been 4 days since provider signed chart?
CC: DM visit .
History of Present Illness:
had CP worried about angina saw cardilologist negative treatmill lasted several minutes 3-4 attacks
A/P:
DIABETES MELLITUS, TYPE II, CONTROLLED (ICD-250.00) (ICD10-E11.9) doing well no changes
Hyperlipidemia (ICD-272.4) (ICD10-E78.5)
GERD (ICD-530.81) (ICD10-K21.9)
suspect esophageal spasm for chest pain declines firther eval
CAD (ICD-414.00) (ICD10-I25.10) stable
CC: DM visit .
History of Present Illness:
had CP worried about angina saw cardilologist negative treatmill lasted several minutes 3-4 attacks
A/P:
DIABETES MELLITUS, TYPE II, CONTROLLED (ICD-250.00) (ICD10-E11.9) doing well no changes
Hyperlipidemia (ICD-272.4) (ICD10-E78.5)
GERD (ICD-530.81) (ICD10-K21.9)
suspect esophageal spasm for chest pain declines firther eval
CAD (ICD-414.00) (ICD10-I25.10) stable