Wiki Physical exam components

[Cynthia A]

Using 1995 guidelines pertaining to the physical exam Neck and Neurologic components. I have a Doctor who always indicates Neck as being supple and neurolgic as nonfocal. Would that documentation supple and nonfocal be adequent documentation to count as part of the exam?

 

[FTessaBartels]

1995 guidelines

For 1995 guidelines, Yes.

For 1997 guidelines, No.

F Tessa Bartels, CPC, CEMC

 

[Cynthia A]

Thank you. I tried to find out what exactly the guidelines for 1995 is acceptable and could not find anything.