Wiki Statement "no acute distress"

We do not. We consider that an assessment of patient's overall appearance (constitutional). We ask for either a comment regarding mood and affect, or orientation x 3, in order to count a bullet for psychiatric OS.
 
No acute distress- neuro

I have also considered this part of the constitutional exam, but I just listened (today) to an AAPC Webinar: Auditing EM Services for the Office & HOPD and they said "neuro".

The example they used was: Patient is well nourished, well developed (Constitutional), alert and oriented x3 (Psych), in no acute distress (Neuro).

I was a little surprised, so I decided to google and see what I can come up with. No definitive answers yet.
 
I'm taking the CPMA course and in one example they counted it under Psych and the following example it was listed under Constitutional.
 
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