Hint: You can have the patients document their own history as long as the urologist reviews it. Going through a patient's entire past medical, family, and social history can be time consuming and sometimes is like pulling teeth to get the answers you need. Help your urologist get a head start on capturing the details you need for the history components of your E/M coding by using a form like this one provided by Michael A. Ferragamo, MD, FACS, clinical assistant professor of urology at the State University of New York at Stony Brook.