Ophthalmology Coding Alert

E/M: HPI Know-How Helps You Catch Level 4 and 5 E/M Opportunities



Beware of CPT® and Medicare differences when counting HPI elements.

Not accurately accounting for the history of present illness (HPI) documented by your ophthalmologist could result in missing appropriate opportunities to report level 4 or 5 E/M visits. Ensure you're not missing higher paying possibilities by reviewing this guide to capturing HPI elements.

Brush Up on What Qualifies as an HPI Element

HPI is one of the three elements comprising an E/M history. It describes the patient's present illness or problem, from the first sign/symptom to the current status, and typically drives a provider's decisions about the physical examination, diagnostic tests, and treatment.

"The [...]

- Published on 2011-12-13

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