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dawndi67

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Hi everyone I have a question concerning exams.

If the dr writes in the Exam section

general appearance: awake, A&Ox3

can the A&Ox3 be counted as a Psych point in the Exam? or for that matter counted in the Neuro area of the Exam?

thanks,
Dawn
 
dawndi67 said:
Hi everyone I have a question concerning exams.

If the dr writes in the Exam section

general appearance: awake, A&Ox3

can the A&Ox3 be counted as a Psych point in the Exam? or for that matter counted in the Neuro area of the Exam?

thanks,
Dawn
Click to expand...

Hi,
Awake or alert times three with respect to people, place and time. If a person is disoriented, they may not respond to one of these, say unable to remember recent events, etc.
This is neuro exam, but rarely a psych point exam if unable to identify people.

LM
 
AAOX3 is counted under Psych Exam. Please refer to 1997 Documentation Guidelines by CMS.
 
Jagadish said:
AAOX3 is counted under Psych Exam. Please refer to 1997 Documentation Guidelines by CMS.
Click to expand...

I agree. Under the general multi-system exam......

Psychiatric

Description of patient’s judgment and insight
Brief assessment of mental status including:

• orientation to time, place and person
• recent and remote memory
• mood and affect (eg, depression, anxiety, agitation)

However......if you were using the 97 Neurological exam (as an example) AAOx3 is listed under the neurological area
 
Last edited:
1995 guidelines

And if you were using 1995 guidelines you could count it in EITHER Neuro or Psych (but not both!).

F Tessa Bartels, CPC, CEMC
 
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