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Specialty exams- Musculoskeletal

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azdcnd

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Phoenix, AZ
Can a chiropractic physician utilize the 1997 Musculoskeletal examination? Or do you have to be an orthopedist to use this guideline? Is there a reference that states who can utilize the various specialty exams?
 
Any provider eligible to bill E/M can use any of the exams. Doesn't matter what specialty they are.

Laura, CPC, CPMA, CEMC
 
Can you change what exam you do from one patient to another? Use the 95 rules for one patient, 97 for another? and musculoskeletal for the third? Or do you have to be consistent with all your patients?
 
You can change from patient to patient, visit to visit. You just have to use 1 set per each individual visit though. You can't do mix and match in an individual encounter.

Laura, CPC, CPMA, CEMC
 
Is it necessary to document which rules you were following ( 95, 97, specialty) in your notes on a date of service with the patient? Or is it advisable to have a compliance guide for the clinic outlining when you use each guideline?
 
No you don't need to document which is used when. In an audit situation they are supposed to audit by both sets and whichever is more advantageous to the provider is the one they go with.

Laura, CPC, CPMA, CEMC
 
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