Diana Phelps
Contributor
I have recently been reading a book with samples of coding E/M. I find in the exam examples the statement "both upper and lower extremities reveal arthritic changes." In this scenario they give 5 BA/OS. I have a problem with this because it is arthritic change is what he was checking in the extremities. If the scenario had stated extremites with arthritic changes and gait then I could see using both areas. Isn't this statement double dipping?
DP
DP