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Jamie Posted Wed 07th of February, 2018 17:29:49 PM
When coding e/m claims using 1995 guidelines...Are we able to use the status of 3 or more chronic illnesses for HPI as an extended history?
SuperCoder Answered Thu 08th of February, 2018 01:48:47 AM

Hi,

 

Status of 3 chronic conditions only applies to 1997 E&M guidelines.

 

CMS says:

 

"An extended HPI:

  • 1995 documentation guidelines – Should describe four or more elements of the present HPI or associated comorbidities
  • 1997 documentation guidelines – Should describe at least four elements of the present HPI or the status of at least three chronic or inactive conditions"

 

Please feel free to write if you have any question.

 

Thanks.

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