Review of Systems

 Allergic/Immunologic 

 Cardiovascular 

 Genitourinary 

 Hematolo Hematologic/Lymph. 

 Constitutional Symptoms 

 Ears, Nose, Mouth, Throat 

 Integumentary 

 Musculoskeletal 

 Neurological 

 Psychiatric

  Endocrine 

 Eye 

 Gastrointestinal 

 Psychiatric 

 Respiratory

 A problem pertinent ROS addresses 1 addresses 1 system (99282/99283) (99282/99283) 

 An extended ROS addresses 2 addresses 2-9 body systems (99284) 32 

 A complete ROS addresses addresses at least at least 10 organ systems (99285)

Past, Family, Social History (PFS)

 Past History  - A review of the patient's past A review of the patient's past experiences with illnesses, injuries, treatments experiences with illnesses, injuries, treatments, past hospitalizations, surgeries, medications, allergies, hospitalizations, hospitalizations, surgeries, surgeries, medications, medications, allergies, allergies, immunizations 

Nursing Facility Services

INITIAL NURSING FACILITY CARE

99304—The three following components are required: 

• Detailed or comprehensive history 

• Detailed or comprehensive examination 

• Medical decision making that is straightforward or of low complexity 

Problem(s) requiring admission: Low severity 

Typical time: 25 minutes with patient and/or family or caregiver 

99305—The three following components are required:

 • Comprehensive history 

 • Comprehensive examination 

 • Medical decision making of moderate complexity 

Problem(s) requiring admission: Moderate severity 

Typical time: 35 minutes with patient and/or family or caregiver

 99306—The three following components are required: 

• Comprehensive history

• Comprehensive examination 

• Medical decision making of high complexity 

Problem(s) requiring admission: High severity 

Typical time: 45 minutes with patient and/or family or caregiver

SUBSEQUENT NURSING FACILITY CARE 

99307—Two of the three following components are required: 

• Problem-focused interval history 

• Problem-focused examination 

• Medical decision making that is straightforward 

Presenting problem(s): Patient usually stable, recovering, or improving 

Typical time: 10 minutes with patient and/or family or caregiver 

99308—Two of the three following components are required: 

• Expanded problem-focused interval history 

• Expanded problem-focused examination 

• Medical decision making of low complexity 

Presenting problem(s): Patient usually responding inadequately to therapy or has developed a minor complication 

Typical time: 15 minutes with patient and/or family or caregiver