Hospital inpatient

Have you read MLN Matters ® article SE1236 lately?

MLN Matters ® article SE1236, which discusses documenting medical necessity for major joint replacements, may be aimed at physicians, but Glenn Krauss, RHIA, CCS, CCS-P, CPUR, PCS, FCS, C-CDIS, and Lynn Marlow, BS, RHIT, CCS, explain how it also applies to hospitals and coders.

Inpatient coders don't typically assign E/M codes, but they should be aware of documentation of the history of present illness (HPI).