To count as a comprehensive exam under the 1995 guidelines the physician must document examination of at least eight of the following 12 organ systems:
Earns, Nose, Mouth, Throat
Makes no difference what the physician "calls" it - if he calls it anything at all. As long as eight of these 12 organ systems are documented you have a comprehensive exam under 1995 guidelines.
Noridian's answer is IF body areas are counted they must be OVER AND ABOVE the 8 organ systems. (emphasis added by FTB)
So in your specific example ... Yes, these remarks under the title "NECK" are cardiovascular system. But you can't count CV twice if he also documents "RRR, no MRG" somewhere else in the note.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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