I use it where I need it most. I sometimes use them for ROS, if needed, and sometimes for history, if needed. I do not use them for both on the same note. I read something that indicates this is appropriate, will see what I can find to confirm.
Found 2 references to allergies and where to use them. Neither says anything specifically. One is from E/M conference at AAPC National in Las Vegas and I have it written down beside the slide that allergies can be used for either. Sorry thats, no help for you.
The other reference is an article by Raemarie Jimenez on page 35 June 2009 Coding Edge, in the last paragraph it says "A reviewer may argue that an HPI element is a "quality" versus an "associated sign and symptom or other element," or that "no known drug allergies" documentation constitutes an ROS element rather than a past history element. Correct interpretation requires consistency, verifiable references, a logical argument, and ultimately medical necessity."
Will keep looking. Now you got me wondering which would be appropriate, and if either, where's the consistency in this? Hmmmmm!
Last edited by Anna Weaver; 10-13-2009 at 05:40 AM.
Anna Weaver, CPC, CPMA, CEMC