Results 1 to 5 of 5


  1. #1
    Default E&M
    Medical Coding Books
    I have just started coding E&M services and need help with some definitions.
    Within the HPI, could someone give me a description of the terms:

    1) location
    2) quality
    3) severity
    4) duration
    5) timing
    6) context
    7) modifying factors
    8) associated signs and symptoms

  2. #2
    North Carolina
    B. History of Present Illness
    HPI is a chronological description of the development of the patient's present illness from the first sign and/or symptom or from the previous encounter to the present. HPI elements are:

    Location. For example, pain in left leg;■■
    Quality. For example, aching, burning, radiating;■■
    Severity. For example, 10 on a scale of 1 to 10;■■
    Duration. For example, it started three days ago;■■
    Timing. For example, it is constant or it comes and goes;■■
    Context. For example, lifted large object at work;■■
    Modifying factors. For example, it is better when heat is applied; and■■
    Associated signs and symptoms. For example, numbness.

  3. #3
    Columbia, MO
    Good job Rebecca! I like it.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Thank you so much!!!!

  5. #5
    Milwaukee WI
    Default Each element defined with a question
    Location - Where - the site, is it diffuse, localized?

    Quality - What kind - sharp, dull, constant, intermittent

    Severity - How bad is it - pain scale 1-10, mild, severe

    Duration - How long has it been present - since yesterday, for 2 weeks, fell on Tuesday

    Timing - Is there a pattern - every morning, continuous, repetitive

    Context - What Brings it on - with exercise, when standing, noted on X-ray

    Modifying factors - What makes it better or worse - better with Tylenol, Rx had no effect

    Associated Signs - What comes with it - other symptoms that accompany the chief complaint.

    Hope that helps
    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Replies: 0
    Last Post: 08-07-2015, 12:40 PM
  2. ICD9 allowable coding for 93880 & 83882 & 93875
    By twinger in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-14-2014, 12:09 PM
  3. Does cpt 73562 & 73565 applies to this report w/ mod 59 & 26?
    By she803 in forum Interventional Radiology
    Replies: 4
    Last Post: 10-08-2012, 11:44 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.