Results 1 to 3 of 3


  1. #1
    Overland Park, KS
    Default Severity
    Medical Coding Books
    This is a hypothetical question......let's say a patient comes into the clinic for follow-up of type II diabetes. The provider notes in the HPI that the patient has type II diabetes, is insulin dependent, and has been diabetic for 2 years.

    Could you interpret the term "type II" as being severity? Would "insulin dependent" be considered as severity as well or could this be modifying factors?

    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

  2. Default Neither
    I think with Type 2 Diabetes you have a chronic condition or a diagnosis. But neither severity nor modifying factor. I think severity or modifying factors would relate to symptoms that the patient might be experiencing. But there is no mention of that.
    But I'm open to other interpertations.


  3. #3
    Milwaukee WI
    Default Quality
    I would consider "Type II" and "insulin dependent" as QUALITY.

    If the physician had mentioned something along the lines of "the patient is having difficulty maintaining an acceptable range of BG levels, with occasional readings as high as 280" I would consider THAT as severity.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. G- Codes and severity modifiers
    By msingh23 in forum Orthopaedics
    Replies: 0
    Last Post: 09-16-2014, 12:05 PM
  2. Severity
    By nyyankees in forum E/M
    Replies: 3
    Last Post: 04-11-2013, 03:25 PM
  3. severity of illness/length of stay
    By abranch13 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-17-2012, 09:31 AM
  4. HPI: Quality vs Severity
    By Tonyj in forum E/M
    Replies: 2
    Last Post: 11-02-2011, 02:53 PM
  5. HPI- Severity
    By malinusky in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 07-18-2011, 11:31 AM

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.