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
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