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Old 09-07-2010, 11:11 AM
Love Coding! Love Coding! is offline
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Default Simple question - I promise!

Under the 1995 examination guidelines my physician dictates:

Neck: Supple w/out lymphadenopathy.

Can I use this statement as either examining a body area "neck" or examining an organ system "lymphatic"?

I understand under the 97' guidelines you would need to examine 2+ areas under lymph.

Thank you,

GeminiCoder74
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Old 09-07-2010, 01:13 PM
Anita Johnson Anita Johnson is offline
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Smile You sure can!

The neck is recognized by both sets of guidelines as a body area. Per the 1995 guidelines, your physician's statement would qualify as 1 body area/system. Best wishes!
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Old 09-07-2010, 01:37 PM
RebeccaWoodward* RebeccaWoodward* is offline
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Default

Quote:
Originally Posted by GeminiCoder74 View Post
Under the 1995 examination guidelines my physician dictates:

Neck: Supple w/out lymphadenopathy.

Can I use this statement as either examining a body area "neck" or examining an organ system "lymphatic"?

I understand under the 97' guidelines you would need to examine 2+ areas under lymph.

Thank you,

GeminiCoder74
I'm leaning towards Neck and organ system (Hematologic/lymphatic/immunologic)


If the physician had just documented: Neck: supple...I would only credit neck

If the physician had just documented: Neck: w/o lymphadenopathy...I would only credit Hematologic/lymphatic/immunologic.

BUT...Since he documented "Neck: Supple w/out lymphadenopathy", I vote for both.

IMHO...
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