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How Serious Is It?

  1. #1
    Default How Serious Is It?
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    Can the number for PSA be counted as severity for HPI? If they have elevated PSA and the MD is stating PSA 5.4 could I count that towards severity similar to when evaluating a stage of cancer? IE: Gleason 6

    What are your thoughts?

  2. #2
    Kansas City, MO
    I often do. As long as you don't count it again as part of the ROS you are fine.

    Karen Cross, CPC, CPMA, CEMC, CUC

  3. #3
    According to NAMAS, severity is defined as a ranking of the system - severe, slightly worse, chronic, can't describe, moderate distress, takes breath away, size of lump or mass, scale 1-10, improved, high blood sugars, etc. So unless the provider actually states - the word "elevated", I don't think I would count it as severity.

    Hope this helps!
    Laura Blandin, CPC, CHCA, CPMA

  4. #4
    So if they are stating elevated PSA you would count for severity but not if they only state the measurement of PSA showing that it is elevated?

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