Which type of history includes documentation of four or more elements of the history of the present illness, a complete review of systems, and a complete past, family, and social history?

Prepare for the ICD-10-CPT Coding Exam. Study with flashcards and multiple choice questions, each backed by elucidative hints and explanations. Ace your certification easily!

The choice of comprehensive history is the correct one because it involves a thorough evaluation of the patient’s background and current health status. Specifically, a comprehensive history requires documentation of four or more elements of the history of the present illness, ensuring a detailed understanding of the patient's current condition. In addition, a complete review of systems is included, which encompasses inquiries into multiple body systems to identify any potentially overlooked issues. Furthermore, a comprehensive history includes an extensive past, family, and social history, providing insights into the patient's health background and risk factors. This level of detail is necessary for a comprehensive assessment and is essential in complex medical scenarios where various factors and conditions may impact patient care. Other mentioned types of history do not require such extensive documentation.

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