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Thread: Comprehensive Exams

  1. #1

    Default Comprehensive Exams

    AAPC: Back to School
    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. #2


    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
    Join Date
    Apr 2007
    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 http://www.cms.hhs.gov/MLNEdWebGuide/25_EMDOC.asp
    Angela Jordan, CPC
    AAPC of Kansas City
    National Advisory Board Representative Region 5

    Medical Revenue $olutions
    Senior Managing Consultant


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