tci ED Coding & Reimbursement Alert - 2004 Issue 7

Reader Question: Stick Your Neck Out for Correct ROS Choice

Question: Our doctors use the phrase "Neck is supple" all the time in their documentation. We are virtually ignoring it because we don't really know which part of the physical exam it should go with. Can I count it anywhere without elaboration from the doctor? Kansas SubscriberAnswer: You are certainly not the only coder struggling here: This phrasing is a common problem, because "neck" is technically a body area rather than an organ system. In the end, you may need to ask your physician what he means by this term. Some coders consider "Neck is supple" as part of...

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