Wiki 99204 exam

[grandmacora]

I work for a orthopedic surgeon he wants to code a 99204.He uses a Single Organ Musculoskeletal exam sheet for the exam he dictates a full musculoskeletal examination was documented on our office form please see these forms for additional information. I am confused if that is enough the code states they need to do 10 organ systems. He is a specialist a Ortho Surgeon. Please Help confused Cora

 

[jmcpolin]

He could possible get a 99204 doing a single system exam with the 1997 guideliines.

 

[grandmacora]

He uses the 95 quidlines the back of his sheet says comprehensive exam requires all elements for 4 of six body areas. There are 12 elements listed by each body area would that be like the bullets on the 95 guidlines? I never worked with the 97 Thanks

 

[jmcpolin]

97 guidelines were developed for specialists you can find them on emuniviersity.com or cms the physical exam hits bullets within the body system instead of separate body systems.