AAPC - Back to school
Results 1 to 2 of 2

Thread: soap notes help

  1. #1
    Join Date
    Apr 2007
    New Orleans

    Exclamation soap notes help

    AAPC: Back to School
    cc uri

    pt cough nasal drip one week unable to sleep use nasal spray some relief


    Health maintenance; reviewed flu shot 09 mamogram 09


    exam; general
    head eyes ears lungs heart abodmen

    plan; review meds
    dep shot

    Help needed : Are all compoments needed to level?
    If nothing listed under ROS can it be pulled from another section?

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Take ROS from HPI

    You want to try to get some ROS.

    You can take "cough, nasal drip" and "unable to sleep" from the HPI and use that for a "problem pertinent" ROS.
    You would still have duration (one week) and modifying factors (nasal spray with some relief) for HPI.

    This gives you an EPF history

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Soap Notes
    By tmr1965 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-27-2015, 06:17 AM
  2. SOAP Notes?
    By Scottkuntz1 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 12-15-2014, 10:26 AM
  3. Soap notes?
    By veloso in forum E/M
    Replies: 4
    Last Post: 09-27-2011, 09:35 AM
  4. Soap notes
    By cyrucats in forum Medicare Regulations
    Replies: 2
    Last Post: 03-03-2011, 11:37 AM
  5. Soap notes
    By perkins05 in forum E/M
    Replies: 1
    Last Post: 12-30-2010, 02:42 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.