tci ED Coding & Reimbursement Alert - 2014 Issue 5

Reader Question: Complete PFSH Required For Observation Services

Question: Is it always required that a family history be documented before assigning code 99220 or 99236 for comprehensive or high complexity observation services?  New Mexico Subscriber Answer: You are correct in that the CMS documentation guidelines say that comprehensive observation services, unlike ED E/M, require three of three PFSH elements for the highest level.  Also CPT® includes these elements in the definition of a comprehensive History, which is required for observation codes. Chief complaint; Extended history of present illness;  Review of systems that is directly related to the problem(s) identified in the history of the...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.