margieclark
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While reading E&M notes at our clinic, my co-worker and I often debate if any of these items count as a bullet under the PE portion of the visit. Sometimes our doctors are close to being able to code a higher level and we are on the fence about whether or not these things count.
Head: Normocephalic
Sinuses: No pain with palpatation
Cardio: Normal S1 & S2
Also, If the doc does an internal and external exam of the ears, is this one bullet or two.
Opinions are appreciated. Thanks!!![Big grin :D :D](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Head: Normocephalic
Sinuses: No pain with palpatation
Cardio: Normal S1 & S2
Also, If the doc does an internal and external exam of the ears, is this one bullet or two.
Opinions are appreciated. Thanks!!