social history (SH)

Age-appropriate review of a patient’s past and current activities (e.g., marital status, employment history, sexual history, level of education, smoking, diet intake, alcohol use). Depending on the category of evaluation and management (E/M) service, documented review of two or all three past, family, and/or social history (PFSH) is required. For comprehensive assessments, all three areas are required.

Leave a Reply

Your email address will not be published. Required fields are marked *