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New pt visit

  1. Default New pt visit
    Medical Coding Books
    With a new pt my Doc dictates that a full musculoskeletal examination was documented on our office form. If he dictates everything else correct would that exam count for a 99204 or does he have to a exam of the 10 organs for the 99204. The sheet he uses has Systems and Body areas that are the examination. The Doctor is a Orthopedic Surgeon so the exam would be his specialty. He never does a exam of all the organ parts. Thanks for the help I need it Cora We are using the 95 guidlines the Doctor does not do the bullets.
    Last edited by grandmacora; 10-24-2011 at 09:02 AM.

  2. #2
    Columbia, MO
    Without a copy of the note and knowing whether you are using 1995 or 1997 criteria it is very hard to advise.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    we are using 95 guidlines

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