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Wiki In addition to 99393??? help
- Thread starter elee6677
- Start date
hewitt
Expert
Absolutely! This is often done in Peds. The AMA CPT Assistant says, "The comprehensive history obtained as part of the preventive medicine E/M service is not problem-oriented, and does not involve a chief complaint or present illness. It does, however, include a comprehensive system review and comprehensive or interval past, family, and social history, as well as a comprehensive assessment/history of pertinent risk factors." You have to make sure there is a "significant, separately identifiable" problem. Though not necessarily required, it is better to document both separately in the medical note. 