AAPC - Back to school
Results 1 to 2 of 2

Thread: More on Neuro-97 versus 95 guidelines?

  1. #1
    Join Date
    Apr 2007
    Everett, WA

    Default More on Neuro-97 versus 95 guidelines?

    AAPC: Back to School
    Just a general question concerning choice of guidelines to use for my headache specialist. It just seems that it's easier to reach a detailed level of exam by using the 95 guidelines rather than the 97. Would you mind sharing me the advantage of using the 97 verus 95 for this particular specialty? I've been working on chart notes trying to use both, and were it not for the help of you knowledgable people don't know what I'd do!

    Suzanne Byrum, CPC-A

  2. #2
    Join Date
    Apr 2007
    North Carolina


    I agree. 95 exam guidelines are easier, at least in my opinion, for Neurology/Neurosurgery audits. For example: When using the 97 exam (Neurological) , you must have at least one bullet from the cardiovascular area and every bullet from the rest of the systems for a comprehensive exam. When using the 95 guidelines, you must have at least 8 organ systems for a comprehensive exam. Typically, my neurosurgeons examine...Constitutional, eyes, cardiovascular, musculoskeletal, skin, neurologic, psych, lymphatic. Now...I'm using the comprehensive exam as an example since the majority of our patients are surgical patients and this type of exam is medically necessary. At times, my orthopods use this template. Normally, their patients condition is more centralized to one area but when the patient has other comorbidities, there are times it's medically necessary to conduct a comprehensive exam.

Similar Threads

  1. Replies: 0
    Last Post: 05-17-2013, 08:34 AM
  2. neuro help....
    By StacyAnnSC in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-03-2011, 08:15 AM
  3. E&M 97 versus 95 guidelines
    By DTATRO in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 07-28-2009, 03:18 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.