Results 1 to 4 of 4

HPI: No new complaints

  1. #1
    Default HPI: No new complaints
    Medical Coding Books
    CC: Follow up.

    HISTORY OF PRESENT ILLNESS: The history of present illness is well characterized in my 01/01/2009 note. Subsequent to the last visit, he has had no new complaints.

    1st question: How would I score no new complaints under HPI elements; Associated Signs & Symptoms?

    2nd question: Is (Follow up) sufficient documentation for chief complaint?

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by Tonyj View Post
    CC: Follow up.

    HISTORY OF PRESENT ILLNESS: The history of present illness is well characterized in my 01/01/2009 note. Subsequent to the last visit, he has had no new complaints.

    1st question: How would I score no new complaints under HPI elements; Associated Signs & Symptoms?

    2nd question: Is (Follow up) sufficient documentation for chief complaint?
    In answer to question 2 - this is not sufficient for chief complaint. The "follow up" note needs to state what is being followed up. Example; Follow up for high blood pressure.

    As to question 1 - I believe that you can look at the HPI referenced in the note from the previous visit, but the "no new complaints" means you cannot add anything to what was previously there.

    Someone else may have a different take on this.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
    Default
    Quote Originally Posted by ajs View Post
    In answer to question 2 - this is not sufficient for chief complaint. The "follow up" note needs to state what is being followed up. Example; Follow up for high blood pressure.

    As to question 1 - I believe that you can look at the HPI referenced in the note from the previous visit, but the "no new complaints" means you cannot add anything to what was previously there.

    Someone else may have a different take on this.
    I'm in total agreement with the follow up portion. I have my concerns about HPI referenced in previous visit.

  4. #4
    Location
    Ellenville, New York
    Posts
    1,177
    Default While I have no "official" source....
    I do the same as your suggestion, Tony, and use "no new complaints" as S/S for one HPI element. Patient is stating whatever symptoms she has right now, which are none. Also, in agreement with you and Arlene about "follow up" - needs to state the condition being followed.

    Lance Smith, MPA, COC, CPMA, CEMC, RHIT, CCS-P, CHC, CHPC

    Director, Health Information Management
    HealthAlliance of the Hudson Valley
    Kingston, NY


    2016 Secretary
    Ellenville, NY Local Chapter

Similar Threads

  1. Chief Complaints - Can someone help me
    By toliverson in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-31-2013, 04:16 PM
  2. Chief Complaints - I am currently working on audits
    By sarichardson1973 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-10-2011, 07:17 AM
  3. em CODING WHEN THERE IS NO COMPLAINTS
    By mshelly87 in forum E/M
    Replies: 2
    Last Post: 02-02-2010, 09:46 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?

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.