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I have always used the 5 to 7 systems guidelines for a detailed visit for an examination. Apparently, Palmetto Medicare (I am in California) had a Webinar seminar on E & M charges in July. I did not attend the seminar, but I saw the reference material that said that you had to have at least 6 systems to qualify for a detailed visit. I am using the 95 rules. I was wondering if anyone read that information?
Here Is the info copied from the reference material:
Detailed: Include at least six organ systems or body
areas. For each system/area selected, performance and
documentation of at least two elements is expected.
Alternatively, can include performance and
documentation of at least 12 elements, two or more
organ systems or body areas.
Comprehensive:1997 Documentation Guidelines for
Evaluation and Management Services: Include at least
nine organ systems or body areas. For each
system/area selected, all elements of the examination
should be performed, unless specific directions limit the
content of the examination. For each area/system,
documentation of at least two elements is expected.
1995 Documentation Guidelines for Evaluation and
Management Services: Eight organ systems must be
examined. If body areas are examined and counted, they
must be over and above the eight organ systems.
Thanks,
DEE
Here Is the info copied from the reference material:
Detailed: Include at least six organ systems or body
areas. For each system/area selected, performance and
documentation of at least two elements is expected.
Alternatively, can include performance and
documentation of at least 12 elements, two or more
organ systems or body areas.
Comprehensive:1997 Documentation Guidelines for
Evaluation and Management Services: Include at least
nine organ systems or body areas. For each
system/area selected, all elements of the examination
should be performed, unless specific directions limit the
content of the examination. For each area/system,
documentation of at least two elements is expected.
1995 Documentation Guidelines for Evaluation and
Management Services: Eight organ systems must be
examined. If body areas are examined and counted, they
must be over and above the eight organ systems.
Thanks,
DEE
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