Can we utilize the "status of three or more chronic/inactive conditions" as an extended History of Present Illness (HPI) for the 1995 guidelines?

Answer  
For reporting services furnished on and after September 10, 2013 to Medicare, you may use the 1997 documentation guidelines along with other elements from the 1995 documentation guidelines to document an extended HPI for E/M services.

  • 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

Resource: CMS MLN Evaluation and Management Services Guide

Contact Railroad Medicare

Email Railroad Medicare

Contact a specific Railroad Medicare department

Provider Contact Center: 888-355-9165

IVR: 877-288-7600

TTY: 877-715-6397

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 

Click to Chat Now