Pain Management Coding Alert
Reader Question:
Know History for Accurate E/M Charts
Published on Thu Jun 07, 2018 
PDF
PDF
Question: When coding a chart for an evaluation and management (E/M) service, how do we know where the "current" conditions/symptoms and the "past" conditions/symptoms fit into the code choice? Illinois 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.
Related Articles
Other Articles in this issue of
Pain Management Coding Alert
- Testing:
Keep EDX Tips on Hand for Optimal Coding
Remember; NCS/EMG combo could spell electrodiagnostic test. One of the tests your PM provider might [...] - CPT® Coding:
Avert Arthrocentesis/Aspiration/Injection Denials with these Tips
Anatomy is crucial to coding these claims. PM practices that perform arthrocentesis, aspiration, or injection [...] - Modifiers:
Recoup Unrelated E/M Pay with 24
Know surgical periods for services before considering modifier. How to use modifier 24 is one [...] - Case Study Corner:
Gain Modifier 24 Guidance Via this Scenario
Here's how unrelated E/Ms during postop periods can happen. It can be a little difficult [...] - You Be the Coder:
Coding for Concussions
Question: The PM specialist diagnoses a patient with a concussion. What is the best ICD-10 [...] - Reader Question:
Separate Sequential, Concurrent IV Infusions
Question: What is the difference between an additional sequential intravenous (IV) infusion and a concurrent [...] - Reader Question:
Use 'Other' Classification for this Spondylopathy
Question: The PM specialist performs a level-two evaluation and management (E/M) service for an established [...] - Reader Question:
Know History for Accurate E/M Charts
Question: When coding a chart for an evaluation and management (E/M) service, how do we [...]
View All