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Reply with quote  #1 
Hello,

For 99222 and 99223 level of service, I am understanding that there should be atleast 2 bullets for each 9 organ systems documented for a comprehensive physical exam.

What if all 9 do not have 2 bullets listed?

All other pertinent info is documented- CC, HPI, ROS.

Would I  need to down code to a 99221?

Thank you.
WENDYR1

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Reply with quote  #2 
If you follow 95 guidelines you would only need 1 listed from each system.  If you are following 97 guidelines for a multi-system exam you need 2 bullets from at least 9 systems and each system does have a minimum of 2 listed under each system.  Be sure you are looking at the correct exam if you are following 97.  But if all are not documented it would drop the code to a lower level.
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