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HPI elements - proceded by dizziness

  1. #1
    Default HPI elements - proceded by dizziness
    Medical Coding Books
    What HPI elements do you get out of this?

    Visiting from TN, syncopal episode today proceded by dizziness/lightheadedness. Accu check 166per EMS., + diaphoresis, + fever/cough x1 week. Pt was standing in line x30min with sxs then passed out. Denies CP, SOB, N/V.

    Someone has stated that the location be inferred, such as dizziness can be used as location. Has anyone else been told this?

    Thanks,
    Dawn Smith, CPC
    [email]dsmith28@iuhealth.org

  2. #2
    Default
    Visiting from TN, syncopal episode today (duration) proceeded by dizziness/lightheadedness (associate sign and symptoms). Accu check 166per EMS, + diaphoresis (severity), + fever/cough x1 week. Pt was standing in line x30min with sxs (context) then passed out. Denies CP, SOB, N/V. (ros)
    this is a detailed HPI
    Hope this helps
    Robin Ingallls-Fitzgeral, CCS,CPC, FCc, CEMC, CEDC

  3. #3
    Default
    thank you
    Dawn Smith, CPC
    [email]dsmith28@iuhealth.org

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