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Wiki Exam Requirements/Thyroid

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issacsgirl35

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Hello,

One of my coders just presented me with a note and in the exam portion the physician examined the thyroid. I am trying to determine what organ system that would fall into, if any; this exam element would give the note 8 and if we can't use the thyroid we will have to down code it. I know if we were using body areas it would fall under the neck, but there doesn't seem to be a place for it in the body systems. I am interested to know what other coders are doing in these cases.

Thank you for your input!

Jessica
 
Hi Jessica,
Under 1997 guidelines - thyroid is counted in the Neck portion of the multisystem, CV, ENT, GU, Hem/Lymph, Resp, and skin exams.
Under 1995 guidelines - It can be counted in the body AREA- neck.
 
When the doctor states something about the thyroid in the 95 guidelines we give them credit under hem/lymph/imm under body systems. If they already mentioned an exam of the lymph system then they would not get the credit.
 
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