Mr. P complains of a “pain in his stomach”. In your note you…
Mr. P complains of a “pain in his stomach”. In your note you document thathe c/o pain in the LLQ radiating with increasing intensity to the umbilicus. Pain is a 6 (1-10 scale), he denies N/V/D. In order to have a complete HPI for your CPT code, what is missing?
Read Details