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Q: [PFSH Leveling in EM Coding] - Can you go over how to level PFSH in EM coding? On your form you show 1-2 is pertinent and 3 is complete but if it is an established patient 2-3 is considered complete A: I know, very confusing. Im going to admit something, this did not actually come from the chat question; I put it in here, it came from a student today, hot off the press, I said, Let me put that as one of the first chat questions and lets see if I and the team can answer this. I did quickly find a link for this at EMUniversity.com () which is one of my favorite sites for things related to E/M. Past Family Social History is part of history. There are three parts to history, the HPI (History of Present Illness), ROS (Review of Systems), and PFSH. But a lot of people dont realize that the leveling of it or the scoring of it changes based on whether or not the patient is established or if its an ER visit, or if its a subsequent nursing facility,