AAPC - Back to school
Results 1 to 2 of 2

Thread: 95 rules

  1. #1

    Default 95 rules

    AAPC: Back to School
    I know that the neck is a body area, and if the doctor mentions no lymphadenopathy it could fit into the lymphatic system. The doctor often only states "supple" in this area. Am I correct in saying that he would not get credit for a system in this area. It would be counted as a body area?

    Also, he always uses the category "extremities" and mentions (edema or lack of). I believe that this would go to the cardio area, but he also mentions "no calf tenderness" could that count toward the muscular area? They use the 95 rules. I always see examples of the 97 rules, but I can never seem to find good examples of the 95 exam rules. I sometimes have some gray areas in converting the body area categories into systems in order to meet the comprehensive critieria. Does anyone have a good reference site that shows examples of the 95 examination?



  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Use 1997

    I use the 1997 guidelines to help me determine in which organ system a given statement falls EVEN when I am using the 1995 guidelines to arrive at the level of service.

    So, yes "calf without tenderness" falls under musculoskeletal.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. rules for consults
    By rbmarshburn in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 04-27-2015, 03:37 PM
  2. Rules of Nines - heard of any changes
    By bwilliams1 in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 03-07-2014, 09:44 AM
  3. Dr. making his own rules
    By valerieeanderson in forum Medical Coding General Discussion
    Replies: 10
    Last Post: 04-01-2011, 04:35 PM
  4. HIPAA rules
    By ShelleyM in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 03-14-2011, 07:02 PM
  5. rules of coding
    By aapc in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-21-2009, 10:29 PM

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.