Wiki Does 'No CVA tenderness' count as GU in 95 exam?

bugaboo

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This was the determining factor in the level of service I was auditing. The provider argues that this statement should count towards the GU portion of the exam because they were looking for tenderness in the kidneys after a back injury in a car accident. I counted the statement as MSK but wanted to get other opinions. It stands for 'Costovertebral Angle (flank)'. What would you count it as in an audit?
 
I work for a Urology practice and we recently had this discussion with our Medicare provider rep. The Medicare provider rep. stated the CVA tenderness can count in either GU or MUSC. = it just depends on the context of what was being reviewed by the doctor. If the doctor is reviewing the kidneys (flank) then you would count that as GU. :) Like everything else in coding - it all depends on who is reviewing the information. Very subjective!!! :(
 
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