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Using Meds as Modifying Factor

  1. #1
    Default Using Meds as Modifying Factor
    Medical Coding Books
    I was re-reading through some threads and also other web sites, and want to know what others think.

    Pertinent to the HPI, when a medication is only stated and doesn't mention whether it makes the problem better, worse, stable, etc. Would you count the med as a modifying factor?

    i.e. pt here f/u hypothyroidism, diagnosed in 2005. c/o increasing appetite, on Tapazole 40 mg.

    I have read where some people say if it doesn't state what the med does, it would fall under current meds, not HPI.

    Last edited by ARCPC9491; 09-17-2008 at 12:22 PM.

  2. #2
    I agree that it must be stated what the med does or it doesn't count as a modifying factor.
    Pam, CPC, CPC-P

  3. #3
    North Carolina
    I second that...

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