3 chronic conditions are in place of HPI elements. It has to be in the HPI, not the A&P. The 97 guidelines are clear this is where it belongs.
"An extended HPI consists of at least four elements of the HPI or the status of at least
three chronic or inactive conditions.
!DG: The medical record should describe at least four elements of the present
illness (HPI), or the status of at least three chronic or inactive
These are history elements and should be in the patients words, when the same info is in the A&P it is in the physicians words.
Example: HPI "hyperlipidemia-patient states changed eating habits and is exercising, is taking meds faithfully"
A&P "hyperlipidemia- labs still not at an acceptable level, will increase meds"
Hope this helps,
Laura, CPC, CEMC
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