Results 1 to 4 of 4

Level IV requirements of vitals

  1. #1
    Default Level IV requirements of vitals
    Medical Coding Books
    Does anyone know if vitals are required to be recorded to bill a level IV new pt or consultation visit. This is for an orthopedic practice.

  2. #2
    If you are using the single system exam from 97 guidelines, yes the vitals are required. If you are basing the level on time, then no vitals are not required.

    Laura, CPC

  3. #3
    They aren't required if you are meeting the exam level in other areas using the 95 or 97 guidelines for the level of service you are billing. There aren't any exam portion - body or organ systems - that are required. It should just be an exam that is medically necessary for the presenting problem.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    National Advisory Board Member 2018-2021, Region 6 Great Lakes
    Minneapolis AAPC Chapter, Education Officer 2018
    AHIMA ICD-10-CM/PCS Trainer
    AAPC National ICD-10 Trainer

  4. #4
    Thank you, that was tons of help.

Similar Threads

  1. level 4 new OV requirements
    By sacash in forum Orthopaedics
    Replies: 2
    Last Post: 12-17-2012, 08:46 AM
  2. Vitals - Do vitals have to be taken
    By cwilson3333 in forum E/M
    Replies: 2
    Last Post: 11-06-2012, 01:53 PM
  3. Vitals
    By kparkhurst in forum Auditing General Discussion
    Replies: 2
    Last Post: 12-20-2011, 01:28 PM
  4. Vitals - We are currently going to EMR
    By proverbs in forum Auditing General Discussion
    Replies: 4
    Last Post: 04-21-2010, 02:56 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.