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Limited and Extedned Exam for 1995 DG

  1. #1
    Location
    Western, Florida
    Posts
    8
    Default Limited and Extedned Exam for 1995 DG
    Medical Coding Books
    Reference to 1995 DG, who can tell the difference between:

    a limited examination --- Expanded PF and
    an extended examination --- Detailed

    The following case from E/MUniversity10/06/2009)

    Exam: Awake, alert, NAD. BP 158/78, HR 56, RR 20. Lungs CTA. Heart:RRR, no MRGs. No peripheral edema.

    (Dr PerterJ says: "Maybe, this would qualify as an EPF exam using the 1995 Guidelines based on the fact 3 organ systems are described,......)

    Why it cannot qualify as a Detailed exam?

    Appreciate any response.

    Judy CPC-A
    Email: judy909@sohu.com
    Coder -- TeamHealth
    Last edited by jl2010; 10-30-2010 at 03:17 PM.

  2. #2
    Location
    Orange County
    Posts
    17
    Default
    EPF = a limited examination of the affected body area or organ
    system and other symptomatic or related organ system(s)

    DET= an extended examination of the affected body area(s) and other symptomatic
    or related organ system(s)

    per CMS

    your example does not indicate and extended exam of the affected body area therefore the exam would count as EPF.

    Hope this helps

  3. #3
    Location
    Western, Florida
    Posts
    8
    Default Extended exam
    Thank you so much for your reply. It is so helpful. Now I understand that if no indication of extended exam, just count as limited.

    Again. Thanks a lot. I may take CEMC next month.

    Judy

  4. Default
    What is the documentation you are expecting to be credited as "extended" for the same above example?
    Thanks,
    Jagadish, CCS-P, CPC

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