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Detailed History Level of E/M

  1. #1
    Kingsport, TN
    Default Detailed History Level of E/M
    Medical Coding Books
    In the September issue of Coding Edge on page 19 it states, "..the brief PFSH and extended ROS are together the lowest elements, which correlate to a detailed overall history level.

    According to CPT guidelines a detailed history consists of the cc, extended HPI, problem pertinent ROS extended to include a limited number of additional systems and a pertinent PFSH.

    Does brief and pertinent mean the same thing? Maybe my auditing tool is incorrect. Please help clarify this. Thanks'

  2. #2
    Springfeild, MO
    I found this tool to be helpful. It is provided by Medicare.


  3. #3
    Kingsport, TN
    Thank you. It shows that a detailed history contains a Pertinent PFSH which is what the tool I use shows. But I still wonder about the "brief" statement made regarding PFSH in the Coding Edge. Does brief and pertinent mean the same thing? I appreciate the link for the auditing tool you provided. I may use it instead of the one I have!!

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