What is the difference between an Expanded Problem Focused exam and a Detailed exam?

The distinction between an Expanded Problem Focused exam and a Detailed exam primarily lies in the number of systems assessed. An Expanded Problem Focused exam typically involves a limited examination of the affected body area or system and may consider other systems if they are pertinent to the problem at hand. In contrast, a Detailed exam requires a more comprehensive assessment, typically involving a review of the patient's history and examination findings across a greater number of systems or organ areas.

The number of systems evaluated is crucial because it defines the level of detail and comprehensiveness expected in each type of examination. Therefore, understanding this difference is essential for proper coding and documentation in cardiovascular and thoracic surgery, as it directly impacts the billing and reimbursement processes.

Other aspects such as duration of the examination, the type of documentation required, and the physician's qualifications do not differentiate these two levels of examinations as clearly as the number of systems assessed does.