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Wiki HPI status of chronic conditions

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crberman

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Bangor, PA
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Hi, Can someone tell me, can you use the status of chronic conditions with a 95 DG exam?
I have heard both yes and no on this. Thank you.:)
 
Karen

In the Evaluation and Management Services guide on the Medicare Website, page 8, it states "at least 4 HPI elements or the status of at least 3 chronic", and doesn't specify 95 or 97 guidelines, but if you go into the specific guidelines the '3 chronic' is only in the 97 guidelines.
 
May depend on the carrier

WPS Medicare allows the 3C for both 95 and 97, they say this is per direction from CMS.

Laura, CPC, CPMA, CEMC
 
Thank you

Thank you for your help. I will check with my carriers on this. I did already find out from my Medicare Carrier that they allow it.
Christine:)
 
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