decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 3 (March)
Understanding E/M: New military history bullet prompts doctors to screen for related conditions
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Article Overview
This article explains a new E/M documentation element in the 2015 CPT manual and discusses how practices may incorporate military history into patient interviews. It focuses on why the topic matters for primary care and specialty settings, including general screening for conditions and family-safety concerns, while emphasizing that the content is about documentation and clinical discussion rather than coding mechanics.
Why This Topic Matters
It helps physicians, coders, and practice staff understand a documentation change in E/M history-taking and why the topic may be relevant to preventive care, specialty screening, and patient safety discussions.
What You Will Learn
- How a military history element fits into E/M social history documentation
- Why clinicians may use the topic as a prompt for broader screening questions
- How the focus may vary across primary care and specialty practices
- Why family safety-related discussions may be part of the broader history-taking conversation
Who Should Read This
- Physicians
- Family medicine practices
- Specialty clinicians
- Medical coders
- Practice managers
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