Adjacent Tissue Transfer (14xxx)

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Question:

I understand that 3 of 7 vitals must be noted to qualify for a Skin System comprehensive exam in a level 4 new patient (99204) visit. My question is whether height and weight can be obtained from the patient to meet this criterion or if we have to actually measure the height and weight.

Answer:

Any vital signs must be personally measured by the staff or physician – vital signs such as the height or weight cannot be “patient stated” – in order to count for the code level.