• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

1997 Guidelines Neurology Exam

geugene

Networker
Messages
50
Best answers
0
Using the 1997 documentation guidelines, can a Neurology MD satisfy the musculoskeletal bullet requirement for examination of gait and station with the following statement “gait was not assessed because it was medically unsafe to do so”?

One of the neurologist I code for feels it's inappropriate to evaluate the gait in a patient with an acute stroke.

Clarification of this issue is greatly appreciated.

Glynis
 
Messages
4,466
Location
Milwaukee WI
Best answers
0
I would give credit for this

I would tend to give credit, just as I would if the physician was unable to examine gait/station due to paraplegia or amputation. The physician didn't ignore this part of the exam, but explained why s/he was unable to perform it.

F Tessa Bartels, CPC, CPC-E/M
 
Top