tci E/M Coding Alert - 2018 Issue 6

Reader Question: Know Your History for Successful E/M Chart Coding

Question: When coding an E/M chart, how do we know where the "current" conditions/symptoms and the "past" conditions/symptoms fit into the code choice? Idaho Subscriber Answer: The chief complaint (CC), history of present illness (HPI), and review of systems (ROS) parts of an E/M code include notations about any current conditions or symptoms that the patient has. The past, family, and/or social history (PFSH) part of an E/M code describes any conditions the patient has experienced in the past that might be related to the current condition/symptoms. For instance: If the patient presents for treatment of a feeding tube...

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

free demo
request yours today
pricing
for any budget
sign IN
welcome back!