1995 guidelines are very vague. There is NO guidance anywhere that will define what is meant by a complete examination of a single organ system.
What I tell my physician - in particular the specialists who like to use this - is that they should outline a comprehensive exam for their system specialty. They should break it down into bullet points, and then determine how many of those bullet points constitute a DETAILED exam, and how many constitute a COMPLETE exam. They should keep this in their compliance plan and ensure that they use it in determining level of service. In this way they will have a defensible position when audited.
A good place to start is with the 1997 specialty exams.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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