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Last Modified: 7/6/2017 Location: FL, PR, USVI Business: Part A, Part B

1995 Examination Guidelines

Q. Do you use the numeric conversion for the 1995 E/M guidelines (i.e., problem focused exam: one system and/or body area, expanded problem focused exam: two-four organ systems and/or body areas, detailed exam: five-seven body areas and/or organ systems, comprehensive: eight organ systems)?
A. The 1995 guidelines do not specify exact numbers -- problem focused implies one system/area, and only comprehensive has a numeric indication (eight or more of the 12 organ systems).
Source: Program Integrity Department
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