tci E/M Coding Alert - 2017 Issue 1

You Be the Coder: Decode Social History For Newborns

Question: What would be considered an acceptable social history for a newborn? We are having some conflict with our documentation, and physicians are just saying things like "Family lives in Atlanta." Georgia Subscriber Answer: The social history of a patient, regardless of age, is one of the histories of Past, Family, and/or Social History (PFSH), which is then one of the three elements that define the history component of an E/M service. Both the 1995 and 1997 documentation guidelines for evaluation and management (E/M) services define social history as "an age appropriate review of past and current activities...

To read the full article, sign in and subscribe to tci E/M Coding Alert.


Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 500 articles
  • ALL years/issues back to 2013 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 E/M Coding 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.