You can use 95 or 97 guidelines when determining your level of service. Use whichever guidelines will benefit you the most for the visit you are looking at. Unless you have stated in your compliance plan that you will only use one or the other an auditor will use the one that benefits you the most when auditing your chart. You cannot use 95 for one part and 97 for another part of the same note.
I noticed while auditing that many specialist coders use 95. In my opinion, the ability to obtain a higher level is more user friendly, if I may, when using the 95 guidelines because of the focus to one body area.Thanks! Another question, would you use 95 or 97 for a specialists office? I just heard that 95 should be used for a specialist & 97 for PCP's. Has anyone else heard that before???