AmandaW
Guru
95' Guidelines:
for the HEENT portion of the exam does the physician have to document something from each to get a comprehensive? Example:
HEENT: The pupils are equal and reactive to light. There are moist mucous membranes
I've got something for eyes, so I can count that as one, and since "moist mucous membrane" is the only thing documented for ENT does it count or does he have to say something also for the Ear and Throat to count the ENT at all?
for the HEENT portion of the exam does the physician have to document something from each to get a comprehensive? Example:
HEENT: The pupils are equal and reactive to light. There are moist mucous membranes
I've got something for eyes, so I can count that as one, and since "moist mucous membrane" is the only thing documented for ENT does it count or does he have to say something also for the Ear and Throat to count the ENT at all?