History of Present Illness (HPI)
“The HPI is one element of the patient’s medical history. The evaluation and management (E/M) guidelines define the HPI as, “ …a chronological description of the development of the patient’s present illness from the first sign and/or symptom or from the previous encounter to the present.””
This FAQ addresses the following:
- What is the history of present illness (HPI)?
- How is the HPI different from the chief complaint (CC)?
- What are the components of the HPI?
- Does a list of negative responses satisfy the HPI documentation requirements?
- Are there various levels of the HPI?
- Does the extent of the HPI impact the level of service of an E/M code?
- Do the eye codes (920xx) require documentation of the HPI?
- May the technician perform the HPI?
- How should the chart note look?
- May the HPI be written by a scribe?
- Must the physician personally perform the ROS and PFSH also?
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