The 95 guidelines allow you to use body areas up to the detailed exam section. But there are only 7 body areas, and you need 8 of 12 systems to equal a general multi-system exam (required for "Comprehensive" exam). The 12 systems for physical exam are different from the 14 systems for ROS.
Don't get bogged down in the organization of your physcian's dictation. Few notes are perfectly laid out. And physicians may interchange verbiage based on the way they are thinking about the presenting problem.
I would break down the actual phrases dictated by the physician using the 97 guidelines ... that will let me know which systems are involved. If there are 8 systems, you can use the 95 guidelines to reach a comprehensive exam level.
If you post a scrubbed exam, I can help you identify the systems.
F Tessa Bartels, CPC, CPC-E/M
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