You ask good questions. That's how you will learn.
"Double dipping" refers to using the exact same words for more than one bullet.
Example from your scenario has skin mentioned TWO times. Once in the HPI, and again when there is the statement "no other skin complaints." So this is NOT double dipping to count these two separate statements, one for HPI and one for ROS.
However, I hope you have yet another statement for the chief complaint, because if you don't then the "patient here for a skin infection" is your CC and I wouldn't count that as HPI.
As for "no drug allergies" - one of the systems is Immunologic/Allergic, so, yes, I would count that as ROS. But you could count it as Past Medical History. The important thing is where do you need the check mark?
You are, indeed, lucky if you have a provider who clearly defines each area of history and hits all the bullet points. In reality many providers lump all this information together without clear "headings" so we coders are left to decipher what is HPI, what is ROS, what is PFS. Fortunately the guidelines allow us leeway in counting the bullet points based on the words in front of us, as long as we don't count any specific word (or phrase) in satisfying more than one bullet.
If you haven't already signed up for emuniversity.com that might be a great resource for you.
Good luck, Kevin, you seem to be on a path to success.
F Tessa Bartels, CPC, CPC-E/M
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