tci ED Coding & Reimbursement Alert - 2004 Issue 10

Reader Questions: 3 PFSH Items Unnecessary for Inpatient

Question: If the emergency department physician treats a patient and admits him, is it correct that we need only two elements of history - the past medical history and either the social or family history? An auditor recently told me that all three elements are required for an admission.  Kansas Subscriber Answer: The auditor would only be correct if you are billing for the inpatient admission rather than an ED E/M service. The 1995 documentation guidelines require two of three from the patient's past/family/social history (PFSH) to satisfy the requirements for 99285 (ED visit for the E/M...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.