AAPC - Back to school
Results 1 to 5 of 5

Thread: Chief Complaint- double dipping?

  1. #1
    Join Date
    Apr 2007
    Fargo, ND

    Default Chief Complaint- double dipping?

    AAPC: Back to School
    If you pull the chief complaint from the body of the HPI, can the info be used again toward the HPI elements? e.g. Patients presents with complaint of low back pain. Has been present for 3 days, radiates down his leg.
    Can the low back pain be used for the chief complaint AND as location under the HPI? Or is this considered double dipping?

    I understand that the same dictation may be used to give credit in the HPI and ROS without it being considered double dipping but does this hold true between the CC and the HPI? THanks!

  2. #2
    Join Date
    Apr 2007
    Lubbock, TX

    Default Nope

    The Chief Complaint and HPI can be shared. Only the ROS and HPI have to be counted separately.

  3. #3
    Join Date
    Apr 2007


    I have to disagree with you on that Brandi.

    Chief complaint is stand alone. If you pull from your HPI to get a chief complaint, you can't use that as an HPI element anymore.

    Laura, CPC, CPMA, CEMC

  4. #4
    Join Date
    Apr 2007
    Fargo, ND


    Thanks for the responses-
    According to info I've seen about the double dipping "urban legand" on the ER Coder Web site, I believe that the HPI and ROS can have the elements used for both with out redocumenting the information but wasn't sure about the chief complaint. Thanks again for the help.
    Laura, do you have a resource where your answer has been pulled from?

  5. #5



    URL: http://www.wpsmedicare.com/part_b/ed...ahistory.shtml

    Q 22. Can the History of Present Illness (HPI) elements be counted for both the Chief Complaint (CC) and the associated signs/symptoms? For instance, a patient presents with chest (location) pain (CC) that she has had for 3 days (duration). She also experiences shortness of breath (associated signs/symptoms) when walking up the stairs (context).
    A 22. Yes. According to the E/M 1995 and 1997 DG, "The CC, ROS, and PFSH may be listed as separate elements of history or they may be included in the description of the history of present illness
    Jagadish, CCS-P, CPC

Similar Threads

  1. Double Dipping or not?
    By tony1sue in forum E/M
    Replies: 0
    Last Post: 03-29-2013, 11:53 AM
  2. Double-dipping
    By jen11976 in forum E/M
    Replies: 5
    Last Post: 07-17-2009, 01:07 PM
  3. Double Dipping On Em?
    By geminitc81 in forum E/M
    Replies: 6
    Last Post: 10-28-2008, 06:39 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?


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.