Are you referring to the 3 Chronic Conditions?
If the patient has 3 chonic conditions, you can use those conditions in place of the HPI elements. The provider needs to document those 3 chronic conditions and their status....Example:
Patient has history of HTN, DM, and Hyperlipidemia. Patient monitors BP weekly. Her typical BP reading is 120/85. Her Blood pressure is adequatley controlled with Toprol. Patient also checks insulin level daily. Patient's takes glucophage as directed. Patient is on a weight maintance plan and takes Crestor as directed. Patient does not experience any negative effects of this medication.
Now...I noticed you mentioned the 95 guidelines. I assume that your carrier allows you to use the 3 chronic conditions for the 95 DG. The 3 chronic conditions guidelines are referenced in the 97 DG. Recently, I wrote my local carrier and they indicated that they recommend using the 3 chronics for the 97 only.
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