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Created byThe Lung Doctorfore-Medtools
Documentation of theDocumentation of theMedical ExamMedical Exam
Created byThe Lung Doctorfore-Medtools
Recognized Single Organ SystemsRecognized Single Organ Systems
CardiovascularEars, Nose, Mouth, ThroatEyesGenitourinary (Female)Genitourinary (Male)Hematologic/Lymphatic/ImmunologicMusculoskeletalNeurologicPsychiatricRespiratorySkin
Detailed
An extended exam of the affected body areaor organs/organ system and anothersymptomatic or related area
Detailed
An extended exam of the affected body areaor organs/organ system and anothersymptomatic or related area
Comprehensive
A general multi-system examA complete exam of an organ system andother related body areas or organ systems
Most levels require a minimum of a
Detailed
Exam
Most levels require a minimum of a
Detailed
Exam
Created byThe Lung Doctorfore-Medtools
MultiMulti--organ System Examorgan System Exam
Detailed
≥
3 vital signs
BP, sitting or standing
BP, supine
Pulse, rate and regularity
Respirations
Temperature
Height
Weight
≥
2 elements* of at least 6 organ systems or body areas examinedOR
≥
1 element of at least 12 organ systems
Comprehensive
≥
2 elements* in at least 9 organ systems or body areas*Refer to 1997 Guidelines for Evaluation & Management Services
*Refer to 1997 Guidelines for Evaluation & Management Services
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