tci ED Coding & Reimbursement Alert - 2020 Issue Q1

Reader Question: Know What Classifies As “Family History”

Question: Would you consider a physician documenting “No sick contacts” acceptable for the family history portion of the E/M history? SuperCoder Subscriber Answer: CPT® defines “family history” as a review of medical events in the patient’s family that includes significant information about: The health status or cause of death of parents, siblings, and children Specific diseases related to problems identified in the chief complaint or history of the present illness, and/or system review Diseases of family members that may be hereditary or place the patient at risk Typically, family history is more along the lines of...

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