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HPI definition

  1. #1
    Location
    Prescott, AZ
    Posts
    71
    Cool HPI definition
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    Does anyone have a good definition for HPI??? I could use some help in explaining this to physician in my office. An example of what he used for HPI -- "81 y/o W Female here for F/U multiple problems"

    I know this can't be right!!
    Thanks,
    Tracy, CPC

  2. #2
    Default
    Medical Billing
    That is not even an acceptable chief complaint, much less an HPI.

    I would get out the 95 and 97 guidelines for this.

    HISTORY OF PRESENT ILLNESS (HPI)
    The HPI is a chronological description of the development of the patient's present illness from
    the first sign and/or symptom or from the previous encounter to the present. It includes the
    following elements:
    location,
    quality,
    severity,
    duration,
    timing,
    context,
    modifying factors, and
    associated signs and symptoms.
    Brief and extended HPIs are distinguished by the amount of detail needed to accurately
    characterize the clinical problem(s).
    A brief HPI consists of one to three elements of the HPI.
    !DG: The medical record should describe one to three elements of the present
    illness (HPI).
    An extended HPI consists of four or more elements of the HPI.
    !DG: The medical record should describe four or more elements of the present
    illness (HPI), or the status of at least three chronic or inactive
    conditions.

    Laura, CPC, CPMA, CEMC

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