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Complete PFSH Question

  1. #1
    Default Complete PFSH Question
    Medical Coding Books
    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!

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

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

  4. #4
    Default
    Per CPT, no distinction is made between new and established patients in the ED.

  5. #5
    Default 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.

  6. Default
    Hi

    it can be 2 out of 3
    Regards..,
    Nandha CPC

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