Does alleviation or aggravation of treatment tried be documented to count against Modifying factor?
Example:
Patient is a 58-year-old Caucasian female with sore throat, headache, chills and fever for past 3 days. Pain is rated as 5/10 on pain scale. Patient is experiencing dull pain. She tried lozenges yesterday.
Per my understanding, HPI elements are Duration, severity, associated symptoms and quality. Please correct me if I am wrong.
My question here is patient has tried lozenges, however, no relief is documented. Can I count this against modifying factor?
Example:
Patient is a 58-year-old Caucasian female with sore throat, headache, chills and fever for past 3 days. Pain is rated as 5/10 on pain scale. Patient is experiencing dull pain. She tried lozenges yesterday.
Per my understanding, HPI elements are Duration, severity, associated symptoms and quality. Please correct me if I am wrong.
My question here is patient has tried lozenges, however, no relief is documented. Can I count this against modifying factor?