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The 1995/1997 Documentation Guidelines are gone beginning 1-1-2023. (Ding dong….) However, we will still need to use them when auditing notes from before 2023.

This article does not apply to services performed after 1-1-2023.

Question:

When counting the chronic conditions for the history of the present illness (HPI) can the status of the condition be taken from the assessment and plan? If so, can it be counted for MDM as well as HPI? Or, would that be counting it twice.