Weball additional body systems. DG: At least ten organ systems must be reviewed. Those systems with positive or pertinent negative responses must be individually documented. For the remaining systems, a notation indicating all other systems are negative is permissible. In the absence of such a notation, at least ten systems must be individually ... WebDetailed exam – an extended exam of the affected body area(s) or organ system(s) and any other symptomatic or related body area(s) or organ system(s). Comprehensive …
1995 DOCUMENTATION GUIDELINES FOR …
WebOct 3, 2024 · Detailed – An extended examination of the affected body area(s) or organ system(s) and any other symptomatic or related body area(s) or organ system(s); Comprehensive – A general multisystem exam to include at least eight body areas or systems. For purposes of examination, the following body areas are recognized: Head … WebHe performs a general multisystem comprehensive exam of eight organ systems. The physician orders labs to be performed in the office including carbon dioxide, chloride, potassium, and sodium. The nurse performs venipuncture to obtain the blood sample. the online itinerant caseload
Physical exam, E/M Coding Education, EM evaluation and …
WebA comprehensive exam is justified if you document 2 in at least 9 system/body areas (18 total). ... you would do better to use the 1995 Exam. If you document that you examined at least one element in each of eight organ systems, it justifies a comprehensive exam. *This response is based on the best information available as of 03/16/17. In CC ... WebInterstitium – the 80th Organ. The recently discovered 80th organ has been termed as interstitium. It is interesting to note that interstitium is going to be the new largest organ … WebProblem. 8CTE. A patient is admitted with nausea and vomiting. She has lost a great deal of fluid and is dehydrated. The physician orders IV fluids and nothing by mouth. The patient is already very thin. Give two possible nursing diagnoses for this patient, using diagnostic labels only, and etiology if possible. micro onde sharp r922stwe