nicoleysmith
Networker
When leveling a GI office visit where the reason for the visit is to plan a screening colonoscopy with no presenting problems, what information are we allowed to use under the HPI section of an E/M Leveling sheet? My team lead and I are trying to determine if we can use "location" since we know the location for the procedure of the colonoscopy - there are no symptoms, no personal or family history of cancer or polyps, no digestive issues, etc. Is there any other information we should use when determining the extent of the HPI for a non-problematic, screening colonoscopy?