• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We’re introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Physical Exam


Best answers
For a comprehensive Exam - for a multi system Exam
I am utilizing the 1997 documentation guidelines:

It states "should include at least nine organ systems or body areas. For each system/area selected, all elements of the exam identified by a bullet should be performed, unless specific directions limit the content of the exam. For each area/system, documenation of at least two elements identified by a bullet is expected.

Can someone please explain: By the wording in the statment, it is a bit confusing. Does this mean that all the physician needs to document is nine systems/body areas, with all elements identified by a bullet, or:
each system/body areas need 2 bullets each.

please help,
Kristen :):eek:
Milwaukee WI
Best answers
Documentation of 1997 Comprehensive Exam

The physician is supposed to perform all elements in at least 9 different areas/systems.

The physician must document at least 2 bullets from each of nine different systems or body areas.

Hope that helps.

F Tessa Bartels, CPC, CEMC