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1997 Single System Review

  1. Default 1997 Single System Review
    Medical Coding Books
    Help! I have a new GI specialist, fresh out of residency who we are trying to teach proper documentation. We are having a hard time with the Exam. He states that he would only ever do a single organ GI exam, but that is not a category in itself. Does anyone have any suggestions as to what kind of exam he would need to meet the qualifications for higher levels? Thanks

  2. #2
    Modesto, CA; Central Valley Chapter
    He may only do a GI exam, but wouldn't he do vitals, general apperance of patient, orientation x3, maybe even mood/affect?

    He may be looking at the abdomen and noting a scar; I think that's skin.

    I'm thinking multisystem exam.............just a thought.


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