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Thread: Simple question - I promise!

  1. #1

    Default Simple question - I promise!

    Under the 1995 examination guidelines my physician dictates:

    Neck: Supple w/out lymphadenopathy.

    Can I use this statement as either examining a body area "neck" or examining an organ system "lymphatic"?

    I understand under the 97' guidelines you would need to examine 2+ areas under lymph.

    Thank you,

    GeminiCoder74

  2. #2
    Join Date
    Apr 2007
    Location
    Greater Orlando
    Posts
    112

    Smile You sure can!

    The neck is recognized by both sets of guidelines as a body area. Per the 1995 guidelines, your physician's statement would qualify as 1 body area/system. Best wishes!

  3. #3
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,128

    Default

    Quote Originally Posted by GeminiCoder74 View Post
    Under the 1995 examination guidelines my physician dictates:

    Neck: Supple w/out lymphadenopathy.

    Can I use this statement as either examining a body area "neck" or examining an organ system "lymphatic"?

    I understand under the 97' guidelines you would need to examine 2+ areas under lymph.

    Thank you,

    GeminiCoder74
    I'm leaning towards Neck and organ system (Hematologic/lymphatic/immunologic)


    If the physician had just documented: Neck: supple...I would only credit neck

    If the physician had just documented: Neck: w/o lymphadenopathy...I would only credit Hematologic/lymphatic/immunologic.

    BUT...Since he documented "Neck: Supple w/out lymphadenopathy", I vote for both.

    IMHO...

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