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Eent

  1. Default Eent
    Medical Coding Books
    When a physician states EENT negative on his exam should he be given credit for eyes and ears nose and throat. I could use some documentation to support this or documentation to support that they would only be given credit for one of the systems.

  2. #2
    Default
    Quote Originally Posted by paintbrush View Post
    When a physician states EENT negative on his exam should he be given credit for eyes and ears nose and throat. I could use some documentation to support this or documentation to support that they would only be given credit for one of the systems.
    I have always given credit for 2 systems when the physician states either HEENT or EENT negataive.

    I would think as long as that system is not part of the "CC" that is fine to state negative.
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    Default ROS or exam?
    Are you talking about the ROS or the exam?

    I'd count two systems on ROS.

    For the exam:
    If using 1997 guidelines "EENT negative" gives you NO bullet points at all. It's not much more effort to dictate: "PERRLA. TMs clear" That would get you 2 bullet points.

    If using 1995 guidelines I might give credit for 2 with "EENT negative" ... but I'd educate the physician about audit-proof documentation.

    F Tessa Bartels, CPC, CEMC

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