When discussing a detailed exam, how many bullets in organ systems must be documented?

For a detailed examination, the requirement is to document at least two bullets in at least six organ systems. This criterion is part of the components that define the level of service for Evaluation and Management (E/M) coding. A detailed exam emphasizes a more thorough review, which necessitates a broader and deeper assessment of multiple systems.

In practical terms, documenting two bullets per system ensures that there is sufficient clinical detail to support the medical necessity of the services rendered. This level of detail is essential not only for accurate coding but also for substantiating the complexity of the visit in clinical documentation.

The other options do not meet the criteria for a detailed exam as defined by E/M guidelines. For instance, requiring two bullets in only one system would not capture the necessary breadth of assessment, while collecting one bullet across four systems falls short of the documentation expectations for a detailed exam. Therefore, option C aligns correctly with the standards set for detailed examinations in E/M coding.