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Comprehensive Exams

  1. Default Comprehensive Exams
    Medical Coding Books
    I need help, can someone point me in the direction some sort of documentation regarding comprehensive SINGLE ORGAN exams?? I am confused on what EXACTLY is required...Thank you so much in advance!

  2. Default
    I believe if you go to the CMS website, you will find information under the evaluation and management services regarding comprehensive single organ exams. Hope this helps.

  3. #3
    Kansas City, MO
    There really is nothing to tell you what a comprehensive exam is under 95 guidelines. As a rule of thumb, I tend to look to the 97 guideline bullets contained in an organ system to get a general feeling for what a comprehensive exam should include. For a comprehensive Cardiovascular exam you would go to 97 Cardiovascular Exam and the bullets for the cardiovascular system are below:

    Palpation of heart (eg, location, size and forcefulness of the point of maximal impact; thrills; lifts; palpable S3 or S4)
    Auscultation of heart including sounds, abnormal sounds and murmurs
    Measurement of blood pressure in two or more extremities when indicated (eg, aortic dissection, coarctation)
    Examination of:
    Carotid arteries (eg, waveform, pulse amplitude, bruits, apical-carotid delay)
    Abdominal aorta (eg, size, bruits)
    Femoral arteries (eg, pulse amplitude, bruits)
    Pedal pulses (eg, pulse amplitude)
    Extremities for peripheral edema and/or varicosities

    This is just a place to start. You can find this information easily on the CMS website
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013

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