Wiki Examination - correct counting for complete exam

[medical coder]

In a recent webinar it was mentioned in regards to auditing a chart in the Exam section you need either 8 systems or 8 body areas counted separately for a complete examination. Is this true? Where would I find documentation in regards to this question to substantiate this change to my docs?

Thank you

 

[Peter Davidyock]

Look at the 95 & 97 guidelines.
You'll find the answer there.

 

[dclark7]

Oceanlivin is correct, you need to review the 95 & 97 guidelines, However, for a comprehensive exam you must have 8 organ systems, body areas do not count. You can find the documentation guidelines on the CMS website: http://www.cms.gov/Outreach-and-Edu.../downloads/eval_mgmt_serv_guide-ICN006764.pdf