I actually had the exact same question not too long ago over a similar situation - I had a pretty difficult time finding information on it. What I gathered was that there really is no specific definition of a routine exam, at least, not in the same way that there is for a problem oriented exam. Everything is centered around the age of the patient, and relevant risk factors specific to them. In reference to the requirements of the exam, the word "comprehensive" (for the history and exam) is not clearly defined, except to say that it isn't equivalent to the comprehensive nature of the office/outpatient E/M codes.
The well woman exam did have a stipulation, though - the pelvic exam has to be performed. That's only because of the V72.31 definition "Routine GYN exam with or without pap cervical smear / Pelvic Examination (annual) (periodic)". Beyond that, there was a lot of controversy about exactly what all has to be done for an exam to be considered "well woman" (as opposed to just a general routine exam). The biggest debate was over whether or not a breast exam had to be performed - I believe it even varies from payer to payer (Medicare stopped requiring it in 2008, apparently). I did find this today: (http://www.acog.org/departments/codi...ngServices.pdf)
It's actually pretty informative - the best answer I've been able to locate on the subject so far. Hope it helps, but fi you find anything better, let me know. I'm still not comfortable with my grasp of the subject.
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