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“location” in HPI

  1. Question “location” in HPI
    Medical Coding Books
    I am need of some assistance regarding “location” in HPI. I had a chart review done and was informed that I could not use shortness of breath as a location. To me I see shortness of breath as location for where the problem is which would be the respiratory system. The QM felt it should be more of a “quality” rather than location. Then I started to think about chest pain, sore throats etc… if you can't use shortness of breath as a location then I don't think these would qualify as well. What are your opinions regarding location?

    Thanks!
    Stephanie


  2. #2
    Default
    I agree that "shortness" is a quality element. I also have no problem with "breath" being a location.

    Generally SOB is more of an associated sign or symptom but if that is the reason they are there it works for me as 2 elements, quality and location.

    I see that the same as "pink eye", or "broken nose", etc..

    Just my take on it,

    Laura, CPC, CPMA, CEMC

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    I agree w/ Laura. Breath is certainly inferred. I would have no problem crediting location.

  4. #4
    Location
    Tuscaloosa, AL
    Posts
    92
    Default
    I would count location in the same scenario.

    Jerri, CPC

  5. Default
    thank you for your assistance!


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