REGINALD068
Guest
Good afternoon
Can someone please confirm if vital signs are an approved/qualified element of E/M?
Thanks
Can someone please confirm if vital signs are an approved/qualified element of E/M?
Thanks
-
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..
Wiki Approved elements for ros/exam components
- Thread starter REGINALD068
- Start date
Pathos
True Blue
Hello,
Absolutely, Vitals are a common component of the Physical Examination (Constitutional).
From CMS E/M Guidelines:
"For purposes of examination, the following organ systems are recognized:
Constitutional (e.g., vital signs, general appearance)"
"Measurement of any three of the following seven vital signs: 1) sitting or standing blood pressure, 2) supine blood pressure, 3) pulse rate and regularity, 4) respiration, 5) temperature, 6) height, 7) weight (May be measured and recorded by ancillary staff)"
As stated above, documentation would need to show at least 3 of the above 7 vital signs in order to count towards credit.
Hope that helps!
Absolutely, Vitals are a common component of the Physical Examination (Constitutional).
From CMS E/M Guidelines:
"For purposes of examination, the following organ systems are recognized:
Constitutional (e.g., vital signs, general appearance)"
"Measurement of any three of the following seven vital signs: 1) sitting or standing blood pressure, 2) supine blood pressure, 3) pulse rate and regularity, 4) respiration, 5) temperature, 6) height, 7) weight (May be measured and recorded by ancillary staff)"
As stated above, documentation would need to show at least 3 of the above 7 vital signs in order to count towards credit.
Hope that helps!
REGINALD068
Guest
Yes....I've advised the Providers they can include the findings of vital signs under those elements, but the argument is, vitals can be listed separately and counts towards required elements: BP, HR, Temp - will count as three elements met. This is incorrect. Yes? But if the Providers list them as findings under the correct element, that is acceptable. Yes?