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  1. #1
    Default Hpi??
    Medical Coding Books
    CAN the word S'ignificant' discomfort be used for any HPI Elements?

    I was thinking severity or quality?

  2. Default
    You could use it for either element but I would probably put it towards severity.

    Severity is best when it is rated 1-10 but you don't always get that in a note. Any word that gives a picture of how bad it is, (ie minimal, significant, extreme) I tend to apply to severity
    Last edited by sbicknell; 05-26-2010 at 11:48 AM.

  3. #3
    North Carolina
    I agree.

    Significant=Reasonably large in number or amount, Having a noticeable or major effect.

    I would credit towards severity, also.

  4. #4
    I would also go for Severity as the description "Significant" carrying weightage to the degree of pain/discomfort.

    Thank You,

    Purnima S, CPC

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