Wiki Complete PFSH Question

[lgrennan]

It's been awhile since I coded ED cases. Only 2 of the 3 (PSH, PMH, PFH) are required for a complete, is that correct?

I had just looked in a old ED coding book and that's what it states.

Thanks for the refresher!

 

[Mojo]

Yes, only 2 history areas are required for a complete PFSH for ED visits.

 

[mcho]

I don't think so. Because ed is always new patient, so it's gotta be 3 hx to be a complete.

 

[Mojo]

Per CPT, no distinction is made between new and established patients in the ED.

 

[Mojo]

PFSH Documentation Guidelines

A complete PFSH is of a review of two or all three of the PFSH history areas, depending on the category of the E/M service. A review of all three history areas is required for services that by their nature include a comprehensive assessment or reassessment of the patient. A review of two of the three history areas is sufficient for other services.

DG: At least one specific item from two of the three history areas must be
documented for a complete PFSH for the following categories of E/M
services: office or other outpatient services, established patient; emergency
department; subsequent nursing facility care; domiciliary care, established
patient; and home care, established patient.

DG: At least one specific item from each of the three history areas must be
documented for a complete PFSH for the following categories of E/M
services: office or other outpatient services, new patient; hospital
observation services; hospital inpatient services, initial care; consultations;
comprehensive nursing facility assessments; domiciliary care, new patient;
and home care, new patient.

 

[Nandhakumar007]

Hi

it can be 2 out of 3