bungalowgirl
Networker
I work in ENT specialty, one of the Drs has to bill using 95 guidelines (that's a whole story in itself). I'm used to coding their services under '97 guidelines so am not super comfortable using the '95. 
My question is, for a New pt office visit, to count the Constitutional system does the Dr HAVE to record the 3 vitals? OR can he just note general appearance &/or communication ability & quality of voice? I can't find any information that clarifies whether vitals HAVE to be recorded for Constitutional to be counted( already ck'd cms). Any help (and your source if you can share) will be welcomed... sources help so I can provide substantiation to my Mgr... Thanks!!
My question is, for a New pt office visit, to count the Constitutional system does the Dr HAVE to record the 3 vitals? OR can he just note general appearance &/or communication ability & quality of voice? I can't find any information that clarifies whether vitals HAVE to be recorded for Constitutional to be counted( already ck'd cms). Any help (and your source if you can share) will be welcomed... sources help so I can provide substantiation to my Mgr... Thanks!!
Last edited: