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Associated Signs and Symptoms...HPI

  1. #1
    Default Associated Signs and Symptoms...HPI
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    Hi All,

    I have a question under Associated signs and symptoms for HPI....Can ve count negative findings as associated signs and symptoms for HPI. For e.g No nausea and vomiting. Kindly let me know and also let me know if there is any reference material for the same.

    Wishing you all a Merry Christmas and Happy New Year!!!!!!


  2. Default
    The following is from CPT assistant April 1996 / Volume 6, Issue 04. According to this we can take pertinent negatives as HPI elements under Associated Signs and Symptoms.

    Generalized symptoms, such as chills and/or fever (and its levels) headaches, overall weakness, or exhaustion are often relevant. A clinician may ask patients directly about "pertinent positives and negatives," such as the presence of bloody or tarry stools associated with changing bowel habits.

    This is also confirmed in "Emergency Department Services" Webinar dated
    December 11, 2008 by Highmark Medicare Services. Pages 13-14 of https://www.highmarkmedicareservices...r-handouts.pdf
    Last edited by Jagadish; 12-23-2009 at 02:10 AM.
    Jagadish, CCS-P, CPC

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