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Family History - patient being adopted

  1. #1
    Default Family History - patient being adopted
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    If you are unable to obtain the Family History due to the patient being adopted, can you count pt is adopted as the family History??

    Thank you,
    Kristen Richard, CPC

  2. #2
    Yes, they get credit for family history when they state why they couldn't get it, ie patient is adopted and family history is unknown.

    Laura, CPC, CEMC

  3. #3
    If you take the time to inquire about the patient's family history and document that little information can be obtained because the patient is adopted, then I believe that will count. For most E&M visits you only need to document two of the three areas (Past, Family, or Social) so you may not even need Family History at all. I'm not an expert on this subject, so someone else speak up if I'm wrong!

  4. #4
    Thank you, that is what I thought, but wanted to confirm.
    Kristen Richard, CPC

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