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review of systems - past medical history

  1. Default review of systems - past medical history
    Medical Coding Books
    can anyone tell me if it is appropriate to get review of systems from past medical history? Lets say in the review of systems you get say 9 systems and you are looking for one more to get a complete and in the past medical history the patient has diabetes would you give credit for endocrine in the review of systems?

  2. #2
    As a last resort, yes. BUT, if you are using diabetes for the credit for past medical history, no. No double dipping. If the past medical history is say..... "appendectomy 5 years ago. diabetes diagnosed 2 years ago." and the reason for the visit is not for diabetes, yes, I would give credit. Also, for drug allergies, you could use that for the Allergic/Immunologic system.. again, as long as you aren't using it for credit for the PFSH.

  3. Default
    excellent that is what i thought.

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