For Head: Normocephalic and Sinuses: No pain w/ palpation - I give credit for either or both statements (97 guidelines) Musculoskeletal - Head/Neck - Inpection/Palpation (1 bullet)
Cardio: Nornal S1 & S2 - I give credit under Cardiovascular - Auscultation.
For internal and external inspection of ears - what verbiage is the provider using? When inspecting the internal ears I look for verbiage that includes the TMs and/or auditory canals. The External inspection is one that has always been a tough one for me to understand the reasoning for it. One provider told me that when does an external inspection of the ears he is also looking at the nose and the alignment of them. He explained that the ear/nose alignment may indicate a condition. But per 97 guidelines the external inspection of ears/nose would possibly include some mention of scars lesions or masses. (which in my opinion would be credited under the SKIN exam).
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join