According to the 1995 guidelines, how many body areas and/or organ systems constitute a detailed exam?

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A detailed exam, as per the 1995 guidelines for evaluation and management services, is defined by the examination of specific body areas or organ systems. According to these guidelines, a detailed exam includes the assessment of at least two to seven body areas and/or organ systems. This range requires the physician to conduct a comprehensive examination, ensuring a thorough evaluation of the patient's condition.

The rationale behind this definition is to provide a structured approach to patient examinations, allowing for appropriate assessment and documentation. By encompassing two to seven areas or systems, the exam strikes a balance between the extremes of a focused and a comprehensive exam. This standard helps coders accurately categorize the level of service provided and ensures appropriate reimbursement based on the complexity of the services rendered. Other options do not align with this established range, reinforcing that two to seven is the correct context for a detailed exam according to the guidelines.

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