A lot of this is based on E & M coding with the number of bullets necessary for each. One question I have is on VSS. Obviously, VSS would be and should be based on each visit. Someone with cough and fever should have HT, RR, Temp, and O2 sat at the least plus/minus O2 sats. I read somewhere once, and I may be mistaken that VSS should include at least three. But, I see why weight is always important but height may not figure into ear pain. Does anyone think that there should always be a default such as Ht, temp and B/P (or pulse)?


Bert
Pediatrics
Brewer, Maine