Can both body areas and systems be included together. I noticed on some of our providers physical exams they have both body areas and systems. See the example below. See how the extremities which are considered a body area be listed alongside systems such as skin. Can extremities be counted as musculoskeletal and can the neck exam be counted under lymphatic? Using the 1995 guidelines does this satisfy a detailed exam or comprehensive exam?

Physical Exam:

Vitals: Blood pressure 133/50, heart rate 83, respirations 20. Patient is afebrile.

General: The patient is sitting up at the edge of her bed. Appears in no acute distress. The patient does appear generally debilitated.

HEENT: Sclerae anicteric, conjunctivae uninflamed. Pupils are reactive to light and accommodation. Mucous membranes are moist.

Neck: Supple, with no lymphadenopathy.

Heart: Regular rate and rhythm, no murmur, no JVD. Peripheral pulses are palpable.

Lungs: Clear to auscultation, with breath sounds equal bilaterally.

Abdomen: Soft, nontender, and nondistended, no guarding or rebound. Normal bowel sounds. No masses.

EXT: No edema, no clubbing. Peripheral pulses palpable. Joints are normal.

Neuro: No tremor. The patient is awake, alert, and oriented x3. Baseline mentation.

Skin: Good turgor, no rash.