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Thread: Orthopedic E/M

  1. #1
    Join Date
    Apr 2007
    Long Island/New York

    Default Orthopedic E/M

    AAPC: Back to School
    How would a specialist such as an orthopedic surgeon qualify for a Comprehensive Exam when that specific specialist is looking at 1 body system (muscko)? Thanks.

  2. #2
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    I would use the 97 guidelines for orhopedics, rather than the 95. For a Comprehensive Exam, they need to document every element in each box with a shaded border and at least one element in each box with an unshaded border.

    Here is the link to the 97 Guidelines: http://www.cms.gov/MLNProducts/Downloads/MASTER1.pdf

    Hope this helps,
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

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