Hi,
Please find below the following coding information I received:
Psychiatric E/M HPI:
Location: Regarding mental status, location could correspond to domain (e.g., mood, thought process, perception, etc.)
Quality: Descriptive language (e.g., forgetful, depressed, disorganized, hallucinating)
Severity: Language that relates to how bad the problem is (e.g., “8 out of 10,” controlled, uncontrolled)
Timing: Language that relates to when symptoms are experienced, such as in certain situations or time of day
Duration: Onset of symptoms and how long symptoms last
Context: Psychosocial factors related to the problem
Modifying factors: What brings on or relieves the problem?
Associated signs and symptoms: What else is happening? (e.g., loss of functions/drives, such as appetite, weight, libido, etc.)
Regards,
Lavanya Mohan