Results 1 to 3 of 3

History unobtainable

  1. #1
    Location
    Seattle First Hill
    Posts
    127
    Default History unobtainable
    Medical Coding Books
    Is it acceptable to assume that PFSH & ROS are also unobtainable if the physician writes in their HPI "history unobtainable due to patient being intoxicated"? Or do they need to specifically say "past social history unobtainable due to XXXX, past family history unobtainable due to XXX, ROS unobtainable due to XXX"?

    Thanks in advance,
    Kirsten, CPC

  2. #2
    Location
    Daytona Beach, FL
    Posts
    752
    Default
    Quote Originally Posted by kjstearns View Post
    Is it acceptable to assume that PFSH & ROS are also unobtainable if the physician writes in their HPI "history unobtainable due to patient being intoxicated"? Or do they need to specifically say "past social history unobtainable due to XXXX, past family history unobtainable due to XXX, ROS unobtainable due to XXX"?

    Thanks in advance,
    Kirsten, CPC
    HPI, ROS and PFSH are all the components that make up the History. So, if the physician writes "HISTORY unobtainable due to..." it would appear to me that he is referring to all of the components in the History. It would be clearer if he did document each component separately, but I would take it as the entire History.

    Thanks,
    Jodi Dibble, CPC

  3. #3
    Default site
    http://codingnews.inhealthcare.com/h...ome-hpi-rules/

    This site has an article relating to HPI unobtainable and mentions a caveat in place for such instances. Might give you a starting point to determine the specific requirements of this caveat

Similar Threads

  1. When history is unobtainable
    By uadmso in forum E/M
    Replies: 4
    Last Post: 03-14-2013, 07:12 AM
  2. ROS- Unobtainable???
    By Cpolisena in forum E/M
    Replies: 9
    Last Post: 12-30-2010, 07:13 AM
  3. ROS unobtainable
    By Trendale in forum E/M
    Replies: 8
    Last Post: 06-19-2009, 07:28 AM
  4. Unobtainable history
    By sallycase1 in forum E/M
    Replies: 6
    Last Post: 01-11-2008, 02:57 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.