E/M Physical Exam-Constitutional requirements

Diana2032

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I’m new to E/M coding and my coworker is telling me that when it comes to the Constitutional Exam NOT only the three vital signs are required but also and evaluation of the patient’s physical appearance (E.g. development, nutrition, body habitus, deformities, attention to grooming, etc). I have been told in the past that it was either or not both. Can someone clarify this for me? Are both required vitals and physical appearance?

Thanks so much!!!
 
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