US · guidance
HOPE All Items v1.01, Item J2052
Symptom Follow-up Visit (SFV) (complete only if any response to J2051 Symptom Impact = 2. Moderate or 3. Severe)
J2052. Symptom Follow-up Visit (SFV) (complete only if any response to J2051 Symptom Impact = 2. Moderate or 3. Severe)
An in-person Symptom Follow-up Visit (SFV) should occur within 2 calendar days as a follow-up for any moderate
or severe pain or non-pain symptom impact identified during Symptom Impact assessment at Admission or HOPE
Update Visit (HUV).
Enter Code
A. Was an in-person SFV completed?
0. No — Skip to J2052C, Reason SFV Not Completed.
1. Yes
B. Date of in-person SFV — Complete and skip to J2053, SFV Symptom Impact.
Month Day Year
Enter Code C. Reason SFV not completed — Skip to M1190, Skin Conditions.
1. Patient and/or caregiver declined an in-person visit.
2. Patient unavailable (e.g., in ED, hospital, travel outside of service area, expired).
3. Attempts to contact patient and/or caregiver were unsuccessful.
9. None of the above
History
HOPE All Items v1.01, effective October 1, 2025 (OMB control number 0938-1153).
Provenance
- Source
- cms.gov
- Retrieved
- 2026-09-17
- Edition
- hope-v1.02
- Content hash
f14bfb64212b1be0428edfc687f2ebdaa757ca3cbd13213bfb6932ab98c405cf
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