AAPC - Back to school
Results 1 to 3 of 3

Thread: 95 Exam Requirements

  1. #1
    Join Date
    Apr 2007
    Kansas City, MO

    Unhappy 95 Exam Requirements

    AAPC: Back to School
    Does anyone have any clarification on what a detailed exam is? What exactly does "an extended examination of the affected body area(s) and other symptomatic or related organ system(s)." mean?


  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default 1995 guidelines vague

    The 1995 guidelines are vague, and have never been clearly defined. Which is why they came out with the 1997 guidelines.

    Thre are two schools of thought on what makes a detailed exam under 1995 guidelines.

    Option 1: 5-7 body areas/systems It is easy to count these systems, but does that mean an "extended exam of the affected area"? I would argue it does not.

    Option 2: an extended exam of the affected body area or system, plus other related systems. But what does this mean?

    Nobody really knows. But if the chief complaint is sinus congestion and the exam is only "Nares patent" I'd argue this was NOT an extended exam.

    On the other hand if your exam included "Sclera clear, lids inflamed and red, oral mucosa moist, thick nasal secretions, facial swelling and tenderness" I would argue this is an extended exam of the affected area. Then all you would need is other related systems (e.g. lungs clear to auscultation, Temp 99.3) and you'd have your detailed exam.

    Hope this helps.

    F Tessa Bartels, CPC, CEMC
    Last edited by FTessaBartels; 11-23-2009 at 01:06 PM.

  3. #3
    Join Date
    Apr 2007
    Kansas City, MO


    Tessa, thank you, this does help....I just don't do well with "vague"...and either do my docs....they want to-the-letter, in writing guidelines.

Similar Threads

  1. Exam requirements
    By ANWALKER in forum E/M
    Replies: 1
    Last Post: 12-17-2013, 03:44 PM
  2. Exam Requirements/Thyroid
    By issacsgirl35 in forum E/M
    Replies: 3
    Last Post: 07-20-2012, 02:09 PM
  3. ROS/Exam requirements
    By Lynda Wetter in forum E/M
    Replies: 6
    Last Post: 07-16-2012, 08:28 PM
  4. Exam required? OV requirements
    By kasdmb in forum Urology
    Replies: 1
    Last Post: 06-28-2010, 02:41 PM
  5. requirements of a preventitive exam
    By bgollata in forum E/M
    Replies: 0
    Last Post: 03-16-2009, 09:06 AM

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.