Transcription of Choosing the Appropriate Outpatient E/M Code
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Choosing the Appropriate Outpatient E/M Code1. HistoryComplete the following chart by marking the entry in the farthest right column which best describes the History of Present Illness(HPI), Review of Systems (ROS), and the Past Family and Social History (PFSH). If one column contains three marks, the typeof history is indicated at the bottom of the column. If no column contains three marks, the column containing the mark farthest tothe left identifies the type of history. Once the type of history is determined, record it in the Appropriate grid in Section (history of present illness) elements:n Locationn Severityn Timingn Modifying factorsn Qualityn Durationn Contextn Associated signs and symptomsBrief(1-3)Brief(1-3)Extended(4 or more)Extended(4 or more)ROS (review of systems):n Constitutionaln Ears, nose,n GIn Integumentaryn Endo(wt loss, etc)mouth, throatn GUI(skin, breast)n Hem/lymphn Eyesn Card/vascn Musculon Neuron All immunon Respn Psychn All others negativeNonePertinent toproblem(1 system)Extended(2-8systems))Complete**PF SH (past medical, family, social history) areas:n Past history (the patient s past experiences with illnesses, operations, injuries, and
Choosing the Appropriate Outpatient E/M Code 1. History Complete the following chart by marking the entry in the farthest right column which …
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