AAPC - Back to school
Results 1 to 2 of 2

Thread: E/M for Dermatology practice

  1. #1

    Default E/M for Dermatology practice

    AAPC: Back to School
    I was wondering if anyone could point me in the direction of obtaining an E/M grid or pocket reference specifically for a derm practice.

    Another question I have is has anyone heard of not obtaining a patients vitals in a derm office? I'm at a loss, I have never worked in a physicians office where the vital signs were not taken. Isn't this part of the elements of the exam? How would this be looked at from an auditors perspective?

    I appreciate any input on this.

    Cindy Chilva, CPC

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default 1997 Guidelines

    Google "1997 E/M guidelines" and you'll find several sites that have this information. There is a specialty exam for "SKIN" under the 1997 guidelines that you may find helpful.

    As for vitals ... that is only ONE bullet point of many that may count toward determining the level of exam (and ultimately level of E/M service).
    For a problem focused exam you need ONE-five bullet points, and you can achieve that without taking so much as one vital sign.

    However if you want to bill a CPT code that requires a comprehensive exam, and you are using the Skin Specialty guidelines you MUST have at least 3 vital signs.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Dermatology
    By lisa_mala in forum Dermatology
    Replies: 1
    Last Post: 08-21-2012, 08:29 AM
  2. Dermatology
    By slapshot in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-05-2010, 08:50 AM
  3. Dermatology
    By jayanthi in forum General Surgery
    Replies: 1
    Last Post: 07-28-2008, 10:22 AM
  4. new pt in dermatology
    By rocky46 in forum Dermatology
    Replies: 2
    Last Post: 02-19-2008, 11:35 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.