Hello, I am fairly new to coding and have a question on the SEVERITY element of the HPI. If the physician stes in HPI that patient is feeling "better" could/should this be considered severity?
Many Thanks!
Severity=discomfort sensation or pain; self-assessment on scal of 1-10 comparison to previously experienced pain; ability of paitent ot continue to function; was the patient awakened. Documentation example: History of intermittent, sharp pain in left lower back that has become more intense, interrupting patieint's sleep.
I would consider patient is feeling better to fall under Quality.