Results 1 to 9 of 9

Hpi

  1. #1
    Default Hpi
    Exam Training Packages
    Okay, I'm beating myself up today .... I'm tired and want to go home!!

    Type 2 diabetes, for 10 years, currently on glimepiride 4 mg bid. Denies any retinopathy, neuropathy, or nephropathy. No history of foot problem. Patient checks her blood sugars 2 to 3 times a day.

    Ok, so I've got duration, mod factor, associated signs and symptoms - can i use 'checks her blood sugars 2 to 3 times a day' for timing?

  2. #2
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    hmmm... I don't think I would. To me it's more of a modifying factor - checking it to determine what it is - to see if it's high/low - eat, don't eat ...

    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

  3. #3
    Location
    Lubbock, Texas
    Posts
    24
    Default
    I have to agree with dmaec. You only have 3 HPI no matter how hard you look at it. I have had this challenge daily for many yrs in a large physician multi specialty practice. Many drs do not realize how little they give the coder in documentation and then they wonder why the service they provided doesn't rate a higher level.

    Sylvia, CCS-P, CPC, CPC-I

  4. #4
    Default
    I so agree Sylvia, I always get stuck with say a 99243 - because I am 1 HPI element off....only one more, and I could have a 99244. I stress, stress, stress that, how little documentation they actually need, but they give even less than little! LOL if that makes any sense.

  5. #5
    Default
    I question, do you really have modifying factor? It doesn't say the medication makes the diabetes better or worse. That would fall more under current medications which is not an HPI element.

    Quote Originally Posted by ARCPC9491 View Post
    Okay, I'm beating myself up today .... I'm tired and want to go home!!

    Type 2 diabetes, for 10 years, currently on glimepiride 4 mg bid. Denies any retinopathy, neuropathy, or nephropathy. No history of foot problem. Patient checks her blood sugars 2 to 3 times a day.

    Ok, so I've got duration, mod factor, associated signs and symptoms - can i use 'checks her blood sugars 2 to 3 times a day' for timing?

  6. #6
    Default
    couldn't you use Type 2 for severity?

  7. #7
    Default Type II.
    No. Type II doesn't support severity.

    Severity is a rating or description of the symptom or pain (such as severe, mild, worse, or the 10 scale)

  8. #8
    Location
    Milwaukee WI
    Posts
    4,466
    Default Quality
    Would Type II be used as "quality"? (assuming that "Type II diabetes" isn't your chief complaint)

    F Tessa Bartels, CPC, CPC-E/M

  9. #9
    Default
    Yes, it was the CC ...... booooo!

Similar Threads

  1. Hpi
    By terricox in forum E/M
    Replies: 2
    Last Post: 03-10-2010, 07:09 PM
  2. HPI Again
    By NESmith in forum Family Practice
    Replies: 3
    Last Post: 03-10-2010, 08:34 AM
  3. Hpi
    By NESmith in forum Family Practice
    Replies: 3
    Last Post: 03-09-2010, 02:53 PM
  4. Hpi
    By dsmith06351 in forum E/M
    Replies: 2
    Last Post: 03-05-2010, 12:42 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?

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.