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HPI element question for E/M

Debra Posted Mon 16th of March, 2015 08:54:50 AM

Hi,

I am assessing this patient's E/M. This is an initial office visit.

If the patient comes in for a diagnostic colonscopy office visit, and he/she has a family history of colon cancer, can I count this as severity since this would place the patient in a higher risk category.

Just curious.

SuperCoder Answered Mon 16th of March, 2015 10:41:40 AM

Thanks for your question. Severity refers to the measurement of how bad the problem is from the patient's perspective. For example, pain level from level 1-10. You are not able to use family history as severity. Hope this helps.

SuperCoder Answered Mon 16th of March, 2015 10:41:41 AM

Thanks for your question. Severity refers to the measurement of how bad the problem is from the patient's perspective. For example, pain level from level 1-10. You are not able to use family history as severity. Hope this helps.

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