In 1995 the American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) developed documentation guidelines for CPT evaluation and management services and modified them in 1997.Comprehensive examination 1995 guidelines: a general multisystem examination or a complete examination of a single organ system. Comprehensive examination 1997 guidelines for multisystem examination: at least nine organ systems or body areas. For each system or area selected, all elements of the examination identified in a table by a bullet (•) should be performed, unless specific directions limit the content of the examination. For each area or system, documentation of at least two elements identified in a table by a bullet (•) is expected. The 1997 guidelines for a single organ system examination: performance of all elements identified in a table by a bullet (•), whether in a shaded or unshaded box. Documentation of every element in each shaded box and at least one element in each unshaded box is expected. Review/Audit worksheet of a general multiorgan system physical examination that shows the details (elements) of examination for each body area/system.