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Thread: Alert & Oriented

  1. #1

    Default Alert & Oriented

    AAPC: Back to School
    If a provider documents that a patient is "alert and oriented in no acute distress", does this count as a psych exam? I thought I had seen somewhere that it should be alert & oriented x3 but I can't find the source material.
    Sue Vermette, CPC

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Constitutional

    Unless the physician specifies "alert & oriented x 3" I do not count this as psych, just part of describing the general appearance, which falls under constitutional.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3


    Yes, it does help. Thanks!
    Sue Vermette, CPC

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