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Derm Experts-how would you count this exam?

  1. Default Derm Experts-how would you count this exam?
    Medical Coding Books
    Again, this is my first time doing during outside of an AAPC test environment so I'm a little iffy on my coding. How would you count this exam? Is saying that a full skin exam was done listing the areas and stating normal sufficient?

    A full skin exam (inspection and palpation of skin and subcutaneous tissues
    of the head/face, neck, chest, abdomen, back and all 4 extremities) was
    performed. If not described in more detail below = within normal limits.

    *General Exam-WDWN NAD*

    Skin/Mucosa/Hair/Nails *Erythematous scaly papules and plaques involving
    the trunk, upper extremities, antecubital fossa, lower extremities,
    popliteal fossa, hands, feet and buttock area . Crusting is present around
    the ankles as are several open fissures. Pustules are absent. Estimated
    total body surface area affected by eczema is 65 %. One 8mm crusted papule
    on vertex.
    *Eyes/ENT* Sclerae white, PERRL and EOMI
    *CV, Resp, GI, GU, Hem/Lymph, Psych--*Not assessed.*
    *Musc Skel*--Full range of motion of all extremities. No edema. No

    Thank you so much in advance for your help!

  2. Default
    Can anyone help with this?

  3. #3
    Milwaukee WI
    Default Duplicate post
    Question answered on the E/M forum.

    F Tessa Bartels, CPC, CEMC

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