I have a practitioner who disagrees with me on a coding issue.
I audit all of their charges that are above and 99213. when she documents its as follows
HISTORY
CC: is good
HPI: 3 areas
PMFSH: nothing she skips all
ROS: 5 areas
I SCORE HISTORY AS (EPF) expanded problem focused (because she does not document PMFSH) she states this should be scored as (detailed)?????

can I get someone else’s opinion please.

Thanks