What is required for the level of history to be met?

To meet the level of history required for coding, it is essential that three out of the three elements be met or exceeded. In the context of Evaluation and Management (E/M) services, these history elements typically include the chief complaint, a detailed history of present illness (HPI), and a review of systems (ROS) related to the patient's related conditions.

By adhering to this standard, coders can ensure that the documentation meets the necessary criteria for a higher level of service. The requirement for three elements establishes a level of comprehensiveness in patient evaluation, which reflects the complexity of the patient's condition and justifies the level of service billed.

In contrast, the other options do not align with the established guidelines for documenting history in E/M coding. For example, simply meeting only two elements or stating that no requirements are necessary fails to demonstrate the thoroughness needed for accurate coding, which ultimately can impact reimbursement and compliance. Similarly, the implication that all systems must be reviewed overlooks that only the relevant systems related to the patient's condition are required for an appropriate history.

Thus, the requirement to meet or exceed three out of three elements not only fulfills regulatory criteria but also enhances the quality of patient care through comprehensive assessment and documentation.