AMA CPT® Assistant - 1997 Issue 10 (October)
Documentation Guidelines Revisited (October 1997)
October 1997 page 11-end Coding Consultation Documentation Guidelines Revisited Documentation Guidelines Revisited In our July 1997 issue we printed the Medicare Documentation Guidelines. The expanded issue consisted of 24 pages and included 14 tables. Since that publication, it has been brought to our attention that some information was inadvertently omitted, as detailed below. Table 1 (page 5)- did not include the last entry, as indicated below: HPI ROS PFSH Type of History Extended Complete Complete Comprehensive Table 2 (page 9)- General Multi-System Exam, the following "bullets" were omitted: Musculoskeletal Examination of Gait and Station Skin Inspection of skin and...
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Article Overview
This article revisits previously published Medicare documentation guidance and identifies corrections to omitted or misprinted material in several tables. It is useful for coders, auditors, compliance staff, and clinicians who rely on documentation standards and evaluation-and-management history, exam, and problem-oriented guidance.
Why This Topic Matters
Accurate documentation guideline references support consistent coding review, audit readiness, and clinical record completeness. This notice clarifies errata tied to a prior publication so readers can rely on the corrected version of the guidance.
Article Sections
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October 1997 page 11-end
Introductory publication context for the correction notice and the prior documentation guideline issue it updates.
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Coding Consultation
Editorial context for the documentation guidance correction and its relation to coding reference material.
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Documentation Guidelines Revisited
The main errata discussion describing omitted table entries and text corrections across multiple documentation guideline tables.
What You Will Learn
- How the article frames corrections to previously published documentation guidance
- Which parts of the documentation guideline tables were revised or clarified
- What types of documentation topics the corrections address
- How the notice fits within CPT Assistant editorial content
Who Should Read This
- Medical coders
- Coding auditors
- Compliance staff
- Physicians and clinical documentation staff
- Practice managers
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