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tci E/M Coding Alert - 2020 Issue Q1
Reader Question: Look to These Guidelines to Know Your History
Question: Would you consider a physician documenting “No sick contacts” acceptable for the family history portion of the E/M history?
New York 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...
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