AAPC - Back to school
Results 1 to 7 of 7

Thread: HPI elements

  1. #1

    Default HPI elements

    AAPC: Back to School
    I have a question, I am auditing some claims and been noticing some coders have been using fever, shortness of breath, seizure as Location, do any of you guys agree with this as being acceptable??

  2. #2

    Wink HPI Elements

    I'm relatively certain that they use these in the HPI because "FEVER" ties to the integumentary system while "SHORTNESS OF BREATH" ties to the respiratory system and "SEIZURE" ties to the nervous system.

    If the HPI reads something like...Patient has had a fever for 3 days of 102 degrees. There is also dizzyness associated with the fever. Patient has been taking aspirin with only mild relief.

    ...you have your location, duration, associated signs and symptoms and modifying factors thereby satisfying the required 4 elements of the HPI.

    Hope this is at least a little bit clearer...

    Have a great weekend,


  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Not location

    I would not count location for any of these statements. None of them answers the question "where is the problem?"

    Oh, and Fever is constitutional, not integumentary.

    F Tessa Bartels, CPC, CEMC

  4. #4


    Hello, I agree with Tessa. The fever is Constitutional & none of the other statements you mentioned are considered as the location of the problem. So I would say none of those statements would be considered acceptable for the location of the problem.

    Hope this helps!!!

  5. #5

    Default Location

    I do E and M coding and I have been advised that in HPI, fever would be constitutional, Shortness of Breath would be respiratory and Seizure would be neurological. Althought it does not specifically say the sstem, you know which system these symptoms refer to

  6. #6


    Mea culpa - I wrote integumentary but meant to write constitutional. I do, however, stand by my comment that SOB is the respiratory and seizures are neurological.


  7. #7
    Join Date
    Apr 2007
    Kansas City, MO


    I'm pretty certain that "Location" should be the body area with the problem, not a body system.

    I wouldn't say " I have pain in my neurological".
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

Similar Threads

  1. HPI elements
    By ajfinn0216 in forum E/M
    Replies: 2
    Last Post: 05-21-2013, 08:22 AM
  2. HPI elements
    By ggparker14 in forum E/M
    Replies: 5
    Last Post: 10-20-2012, 11:31 PM
  3. Er hpi elements
    By nabernhardt in forum Emergency Department
    Replies: 2
    Last Post: 04-03-2012, 12:46 PM
  4. How many elements are in this HPI?
    By Tude in forum E/M
    Replies: 14
    Last Post: 11-12-2009, 07:15 AM
  5. Elements for HPI
    By Jody Mortensen in forum E/M
    Replies: 3
    Last Post: 05-01-2009, 04:00 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.