Clinical Documentation Improvement Series 26. Evaluation and Management Documentation 11. Levels of History of Present Illness

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Levels of History of Present Illness (HPI)

The HPI can be categorized as brief or extended. The brief HPI only needs 1-3 elements of the HPI. The elements were reviewed in this post. The extended HPI requires 4 HPI elements or the status of 3 chronic problems.

Bibliography

Department of Health and Human Services. Centers for Medicare & Medicaid Services. Medicare Learning Network. "Evaluation and Management Services." Accessed May 4, 2020. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/eval-mgmt-serv-guide-ICN006764.pdf
Ramos, Marco. “Clinical Documentation Improvement Series 16. Evaluation and Management Documentation 1. Components of the History of Present Illness”, SMO Blog (blog). March 29, 2020. https://hive.blog/hive-122108/@secondmedicalop/clinical-documentation-improvement-series-16-evaluation-and-management-documentation-1-components-of-the-history-of-present

Marco A. Ramos MD, CCDS

In order to quote from this article in bibliography, Chicago style, please use the following:
Ramos, Marco. “Clinical Documentation Improvement Series 26. Evaluation and Management Documentation 11. Levels of History of Present Illness”. SMO Blog (blog). May 4, 2020. https://hive.blog/hive-163521/@secondmedicalop/clinical-documentation-improvement-series-26-evaluation-and-management-documentation-11-levels-of-history-of-present-illness

Links to the Previous Posts in this Evaluation and Management Series

- Clinical Documentation Improvement Series 16. Evaluation and Management Documentation 1. Components of the History of Present Illness
- Clinical Documentation Improvement Series 17. Evaluation and Management Documentation 2. Individual Systems of the Review of Systems
- Clinical Documentation Improvement Series 18. Evaluation and Management Documentation 3. Areas of the Past, Family and Social History
- Clinical Documentation Improvement Series 19. Evaluation and Management Documentation 4. Organ Systems of the Physical Exam
- Clinical Documentation Improvement Series 20. Evaluation and Management Documentation 5. Problem Points of the Medical Decision Making
- Clinical Documentation Improvement Series 21. Evaluation and Management Documentation 6. Problem Points of the Medical Decision Making
- Clinical Documentation Improvement Series 22. Evaluation and Management Documentation 7. Risk Assessment: Minimal Risk
- Clinical Documentation Improvement Series 23. Evaluation and Management Documentation 8. Risk Assessment: Low Risk
- Clinical Documentation Improvement Series 24. Evaluation and Management Documentation 9. Risk Assessment: Moderate Risk
- Clinical Documentation Improvement Series 25. Evaluation and Management Documentation 10. Risk Assessment: High Risk
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