While I'm mentioning samples from my seminar collection, here's something I just received from PCC's coding Igor (ette). She was at a local E&M coding conference and reported this tidbit:
Comprehensive exam is defensible for Medical Necessity simply by virtue of being a peds exam (developmental component not present for other specialties), by exploration of mechanism of injury, systemic/chronic disease involvement.
A much more eloquent (and concise) way of putting something I've been trying to say for years. When I discuss pediatric E&M distribution, I often find myself fighting the perception among pediatricians that pediatric visits aren't complex - it's easy, kids' stuff. "Adult medicine, especially with all those chronic conditions and crazy medications...now that's complex." I don't buy it. Why?