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99204 exam

  1. Default 99204 exam
    Medical Coding Books
    I work for a orthopedic surgeon he wants to code a 99204.He uses a Single Organ Musculoskeletal exam sheet for the exam he dictates a full musculoskeletal examination was documented on our office form please see these forms for additional information. I am confused if that is enough the code states they need to do 10 organ systems. He is a specialist a Ortho Surgeon. Please Help confused Cora

  2. #2
    Salt Lake City
    He could possible get a 99204 doing a single system exam with the 1997 guideliines.
    Jenifer McPolin CPC, CPMA, RCC

  3. Default
    He uses the 95 quidlines the back of his sheet says comprehensive exam requires all elements for 4 of six body areas. There are 12 elements listed by each body area would that be like the bullets on the 95 guidlines? I never worked with the 97 Thanks

  4. #4
    Salt Lake City
    97 guidelines were developed for specialists you can find them on or cms the physical exam hits bullets within the body system instead of separate body systems.
    Jenifer McPolin CPC, CPMA, RCC

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