Wiki ? re: exams for established patient's

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medicode3

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Hello Everyone,
I had a quick question. I am new to Urology coding but not to coding for other specialties. I have a question.....I have been told that for established visits the physician does not have to include a GU body area or organ system in the exam. I thought with ANY SPECIALTY you had to include the pertinent organ system in the exam especially when it is a specialty. Am I wrong about this? Can anyone help me out? Thanks!!:)
 
Exam must be documented by the physician always regardless of specialty. It cannot be referred to from a previous visit or implied.
 
Thank you

Thank you Debra that is exactly what I thought but I just wanted to make sure that I wasn't missing something.
 
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