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CC used in HPI points

  1. #1
    Default CC used in HPI points
    Exam Training Packages
    Can the CC be counted when scoring HPI points?

    CC: Abdominal Pain
    HPI: Patient presents with abdominal pain for the last week. etc. etc. etc.

    I would normally use the abdominal pain for location and quality. I have a co-worker that has interpreted something that she has read to say that you cannot count it because it was stated in the CC. I have never heard of anything like this??

    Any input is greatly appreciated. I am worried she is really underscoring her providers HPI because of this.

    I posed this question to the presenter for this week's webinar and she did not understand and just answered back about who can document CC... not what I was asking

  2. #2
    Ellenville, New York
    Default Not if documented in note
    I believe your co-worker is incorrect as abdominal pain is documented in the note itself and not just as the CC. Like you, I would use abdomen as location in your example.


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

    2016 Secretary
    Ellenville, NY Local Chapter

  3. #3
    Milwaukee WI
    Default As long as it is restated
    I agree with Lance ... as long as the information is restated in the HPI I would use it.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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