Results 1 to 9 of 9

Hpi elements?

  1. Default Hpi elements?
    Exam Training Packages
    Hi All,
    How many elements can I count for this particular encounter?
    HPI:
    42 year old female presents with c/o cracking dry skin of the heels x 2years. patient denies any trauma to the feet.
    Thank you.

  2. Default
    Quote Originally Posted by veloso View Post
    Hi All,
    How many elements can I count for this particular encounter?
    HPI:
    42 year old female presents with c/o cracking dry skin of the heels x 2years. patient denies any trauma to the feet.
    Thank you.
    I get:

    location: heels
    duration: 2 years
    quality: cracking dry skin
    associated signs and symptoms: denies any trauma to the feet

    That is my take on it. Hope this helps

  3. Default
    Hi Eadun,
    I'm leaning towards billing this to 99203 but here is the progress notePODIATRY VISIT)
    42 year old female presents with c/o cracking dry skin of the heels x 2years. patient denies any trauma to the feet.
    Current Medication:
    Medical History:
    Borderline diabetes

    Allergies/Intolerance:
    N.K.D.A.

    ROS:

    Examination:
    Vascular
    PEDAL PULSES Dorsalis pedis, +1/4, bilateral, Posterior tibial, 0/4, bilateral. CAPILLARY REFILL TIME 2# of seconds x 10 toes. TEMPERATURE GRADIENT WNLs, bilaterally.

    Dermatology
    SKIN FINDINGS: Signs of:, fissure b/l heels and plantar forefoot b/l.

    Assessment:
    Chapping skin - 709.8 (Primary)

    Plan:
    Treatment:
    Chapping skin
    Start Lactinol Lotion, 10 %, Externally, 1 application to affected area, Twice a day

    But I think I just code this to 99202 since I have only ONE ROS and how about my PHY.EXAM does it qualifies for level two following the 1995 DG.

    I really appreciate the attention you gave in my thread.thanks a lot..God Bless..

  4. #4
    Location
    Las Vegas, NV
    Posts
    12
    Default I get 4 HPI's also
    Heels
    Cracking
    2 years
    denies trauma

  5. Default
    hai


    3=hpi
    location: heels
    duration: 2 years
    quality: cracking dry skin


    That is my take on it.

  6. Default
    I agree. 99202. Plus, I do not feel that the nature of the presenting problem would have warrented a 99203 anyway.

    Have a great day!

  7. Default
    Thanks... Everybody for the input this forum really helps me lot more power to all of us..in this unending struggle and learning career ...

  8. #8
    Default
    I would not count the denies trauma to feet. In order to be able to count it as an associated sign/symptom it needs to be a positive. I could see counting this for ROS since you can use both positives and negatives.
    Last edited by skrautkramer; 11-10-2010 at 06:23 PM.

  9. Default
    Quote Originally Posted by stephegriffith View Post
    I would not count the denies trauma to feet. In order to be able to count it as an associated sign/symptom it needs to be a positive. I could see counting this for ROS since you can use both positives and negatives.
    Associated signs and symptoms do not need to be positive. How do you support that they are only "positives"?

Similar Threads

  1. HPI elements - abdominal bloating
    By ajfinn0216 in forum E/M
    Replies: 2
    Last Post: 05-21-2013, 09:22 AM
  2. HPI elements - Unresponsive at home
    By ggparker14 in forum E/M
    Replies: 5
    Last Post: 10-21-2012, 12:31 AM
  3. Er hpi elements
    By nabernhardt in forum Emergency Department
    Replies: 2
    Last Post: 04-03-2012, 01:46 PM
  4. How many elements are in this HPI?
    By Tammytude in forum E/M
    Replies: 14
    Last Post: 11-12-2009, 08:15 AM
  5. Elements for HPI
    By Jody Mortensen in forum E/M
    Replies: 3
    Last Post: 05-01-2009, 05:00 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?

Login

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.