I have a quick question, my provider constantly documents either negative or positive Homan’s sign on his patients and he often bills 99203. On every exam he assesses range of motion (musculoskeletal), tenderness (skin), he documents that the patient is neurovascular intact (neuro) and there are vitals (constitutional); that’s 4 elements which corresponds to an Expanded Problem Focused Exam (99202). He also documents Homan’s sign which according to google it detects DVT and leads me to believe that I should be giving credit towards Cardio under the exam, which is what the provider needs to bill 99203 (detailed exam – 5 exam elements).

Can anyone tell me if I can give credit under Cardiovascular for the Homan’s sign?

Thank you.