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HPI, Location?

  1. #1
    Default HPI, Location?
    Exam Training Packages
    Can anyone tell me if for location you can endocrine if a person has diabetes?
    Can you assign a location for what is affected for example depression-neurologic/psychiatric? If you can do this can you please show me policy that allows this. Thank you in advance.

  2. #2
    Default
    I say yes. I am in WI and we use WPS Medicare. Below is a link to something off their site. I think MN is on WPS as well?

    http://www.wpsmedicare.com/part_b/education/em_qa.pdf

    Look at page 16, #3:
    It says you can infer a location of brain from a psych complaint. So I would think the same would apply for diabetes coming from Endocrine.

  3. #3
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    North Carolina
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    3,126
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    Nice 1073358. I have yet to receive a solid answer, such as this, from my carrier. We are in the midst of changing MAC's. I'm dreading this somewhat...time will tell.

  4. #4
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    thank you so much, very helpful

  5. #5
    Default Thank you very much for posting this!
    I have always counted the location in situations like this and other coders have told me we can't do that. It is nice to have validation.

    Again thank you,

    Laura, CPC

  6. #6
    Default
    Quote Originally Posted by 1073358 View Post
    I say yes. I am in WI and we use WPS Medicare. Below is a link to something off their site. I think MN is on WPS as well?

    http://www.wpsmedicare.com/part_b/education/em_qa.pdf

    Look at page 16, #3:
    It says you can infer a location of brain from a psych complaint. So I would think the same would apply for diabetes coming from Endocrine.
    according to the new WPS FAQ, we can'T use this anymore, does anyone have a copy of the previous FAQ. I do know that it was on there, but like I mentioned before Medicare just revised this in JUNE of this year and now it says you cannot. I just need to show that I was doing it because it was on there. Please help.
    Last edited by Gainingknowledgedaily; 07-02-2009 at 10:36 AM.

  7. #7
    Default
    I don't think you could, but I am not in MN and have a different carrier (NHIC). You may be able to use endocrine in ROS if there is appropriate elaboration beyond HPI on this Diabetes, but just the mention of it is just the chief complaint.
    Karolina, CPC, CPMA, CEMC

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