Select the guidelines that will carry the best advantage to your coding.
With two sets of guidelines — 1995 and 1997 — for assigning a physical examination level, don’t get muddled up between the two and worked up over how to choose the appropriate level of service.
Clip this chart from Suzan Berman, MPM, CPC, CEMC, CEDC, manager of physician compliance auditing for West Penn Allegheny Health Systems, Pittsburgh, Penn. and keep it near your desk for quick access to the exam level details.
Levels of the Physical Exam Components
Problem-Focused Exam