AAPC - Back to school
Results 1 to 4 of 4

Thread: HPI elements when pt is asymptomatic??

  1. #1
    Join Date
    Apr 2007

    Default HPI elements when pt is asymptomatic??

    AAPC: Back to School
    I work for a General/Vascular Surgery practice. Two of the surgeons are questioning how they can meet the required elements for HPI when the pt has an asymptomatic breast lesion or carotids, or when a cancer pt comes in for consult to have a port placed for chemo.
    Does anyone have any tips I could give them to meet the number of elements required to bill anything higher than a level 2? Or could direct me to a resource that can help me educate them as to what they should be including in their dictation to meet the elements??
    Mary Beth Gord, CPC

  2. #2
    Join Date
    Apr 2007


    OK, I'm not a surgery coder but will give this one a try. Anyone can feel free to correct me.

    For the breast lesion:
    CC: lesion
    Location: breast
    Severity: asymptomatic
    Right there are 2 elements of HPI. Is there a duration of how long they've had it? There is another element. Are there any associated signs or symptoms? Possibly another credit for "no breast pain" as a negative to the associated sign or symptom.

    For the port placement, can you use the cancer as the chief complaint, since it is the reason for the port? Then you would have the location, duration, severity, etc. If not, what do you use?
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

  3. #3
    Join Date
    Apr 2007
    North Carolina


    I agree with Pam...nice example. When I meet with my providers, this question often comes up. Pam's tips are some that I suggest and for those patient's that have no complaints but come in for...lets say "refills"...many have chronic conditions. Example...DM, HTN, Hyperlipidemia, etc. For those patients, I suggest that the provider expand on the 3 chronic conditions and address their status'. Have you seen Dr. Jensen's website? It's packed with information. I, personally, think he's one of a kind for providing something to the coding world without strings attached.


  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default The 8 elements of HPI

    I attended a conference earlier this year where one presenter, who is an MD, spoke about her efforts to educate the doctors in her practice. (She had become known as the "coding queen" in her office.) For HPI, she tried to form a question for each element that the physicians would understand:

    Location - Where is it? - the site, diffuse, localized
    Quality - What kind? - sharp, dull, improved, worsening
    Severity - How Bad Is it? - pain scale 1-10, mile or severe
    Duration - How long? - length of time it's been present
    Timing - Is there a pattern? - relation to something else, continuous, repetitive
    Context - What brings it on? - occurs with a specific activity
    Modifying Factors - What makes it better or worse? - prior treatment or medication tried
    Assoc Sign & Syjmptoms - What comes with it? - symptoms that accompany the main complaint.

    So for your example of breast lesion
    Quality - lesion
    Location - breast
    Assoc Sign/Sympt - asymptomatic

    If your physician included one more element - when was it noticed (duration), what size is the lesion (severity) - you'd have 4 elements for the highest level HPI.

    This week's "Case of the week" on emuniversity.com is an HPI that is just 3 or 4 lines long ... Use it to help educate your docs.

    F Tessa Bartels, CPC, CPC-E/M

Similar Threads

  1. See any HPI elements here?
    By AmandaW in forum E/M
    Replies: 11
    Last Post: 02-26-2015, 08:53 AM
  2. HPI elements
    By RFoster1 in forum E/M
    Replies: 2
    Last Post: 02-18-2014, 01:19 PM
  3. HPI elements
    By LindaEV in forum E/M
    Replies: 8
    Last Post: 12-03-2009, 02:32 PM
  4. How many elements are in this HPI?
    By Tude in forum E/M
    Replies: 14
    Last Post: 11-12-2009, 07:15 AM
  5. Elements for HPI
    By Jody Mortensen in forum E/M
    Replies: 3
    Last Post: 05-01-2009, 04:00 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.