For the 1995 guidelines, some carriers use 2-4 body areas/organ systems as EPF; and 5-7 as detailed. If this is the case for you, then you have an EPF exam.
On the other hand ... the guidelines actually state that a DETAILED exam is an extended exam of the affected body area(s), and other symptomatic or related organ systems. Your physician documents an extended exam of the affected body area, plus constitutional and psych. So you could make an argument that you have a DETAILED exam.
I've asked my specialty groups to come up with written protocol as to what constitutes an "extended exam of the affected body area" (and while they're at it, what equals a "complete exam of a single organ system"). This "definition" is then placed in the Compliance plan to outline how THEY define the term, and internal audit is based on that information.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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