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Wiki Vital signs in E/M code selection

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I was asked to look at documentation from a physician group. Vitals are never assessed or recorded. I've checked 95 and 97 guidelines and the only time I see that vital signs are a requied element is for a comprehensive exam under the 97 guidelines. So, technically, there's nothing wrong with billing an E/M code but isn't there a standard of care that would require checking vital signs?
 
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