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Help with HPI level

  1. #1
    Kansas City, MO
    Default Help with HPI level
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    What level of HPI would you give this? I struggle with these when its not the normal list of symptoms/elements of HPI.

    "Pt is new to this clinic. She was seeing Dr.AAA, prior to that was seeind Dr.BBB. She has depression and anxiety, she is worried I am going to change her meds. She is stable on these meds. Dr.AAA was requiring her to come in every month, she says he "Lied" to her telling her she had to come in monthly because of a new law."


  2. #2
    Assuming you have a chief complaint and ROS elsewhere this is EPF. At the very least you have modifying factors and you only need 1 element of HPI and 1 ROS to get EPF. If you have no ROS this is PF.

    Laura, CPC, CPMA, CEMC

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