Reader questions: 99202-99205 Take PFSH to a New Level

Why This Topic Matters

Accurate history documentation affects E/M level selection, compliance review, and office workflow. The article helps readers understand the general documentation expectations that can influence coding for new patient visits and related audit readiness.

Article Sections

1. Question

   Introduces a reader scenario about office documentation for a new patient visit and the history elements recorded in the chart.

2. Answer

   Provides a high-level response about how the documented history components fit into broader E/M history categories.

3. How it works

   Summarizes the levels of history discussed in the article and places them in the context of new patient office visit coding.

4. Pertinent

   Discusses the general meaning of a pertinent history review and notes its relationship to documentation guidance.

5. Complete

   Explains the broader concept of complete history documentation and distinguishes between new and established patient visit contexts.

6. Remember

   Offers a compliance-oriented reminder about reviewing documentation practices with physicians when required history elements are frequently omitted.