New military history bullet prompts doctors to screen for related conditions

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the addition of military history to the AMA E/M social history framework in the 2015 CPT manual and discusses how practices may incorporate it into routine history-taking. It is aimed at clinicians, coders, and practice staff who document E/M services and want to understand the broader screening topics that may be relevant for veterans, service members, and their families. The discussion stays at a high level while covering the documentation context, specialty-specific follow-up considerations, and patient-safety issues that may arise in primary care and other settings.

Why This Topic Matters

It helps practices understand a documentation change in the E/M social history and why the topic may be relevant to screening, preventive care, and patient safety across different specialties.

Article Sections

  1. Patient encounters

    Introduces the E/M social history update and explains the documentation context in which military history appears. The section frames the change as a prompt for broader screening and preventive care discussions.

  2. Make follow-up questions specialty specific

    Describes how follow-up questions may vary depending on clinical specialty and the type of patient encounter. It also notes that different practices may focus on different broad areas of concern.

  3. For families, ask about security

    Discusses considerations for family members of service members, including safety-related topics that may be relevant in routine history-taking. The section also touches on confidentiality and patient safety concerns.

What You Will Learn

  • How the military history element fits into E/M social history documentation
  • Why practices may use the topic as a starting point for broader screening
  • How follow-up history-taking may differ by specialty
  • What broad safety-related areas may come up when discussing military families
  • Why the documentation change may be relevant for veterans, service members, and their families

Who Should Read This

  • Physicians
  • Coders
  • CPCs
  • Medical practice managers
  • Clinical documentation staff
  • Primary care practices
  • Specialty practices

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