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Posted By Mary Peabody on 03-23-2020, 19:35:15 in Ob-Gyn
Hello Melanie

Would you give credit under musulosketetal if the documentation states? HENT: Head: Normocephalic, atraumatic=

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Posted By Melanie Witt on 03-24-2020, 18:17:10
It would be a general body area in the 1995 guidelines under head and face. It is not listed under a general 1997 exam criteria, and I would not put it under musculoskeletal as that has to do with joints and bones. He is in effect saying that the head looks normal in size and shape and does not show any injuries. And it is usually a visual observation, not a physical touching of the head.
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