Ears, Nose, Throat Examination as per medicare

Constitutional
Measurement of any three of the following seven vital signs: 1) sitting or standing blood pressure, 2) supine blood pressure, 3) pulse rate and
regularity, 4) respiration, 5) temperature, 6) height, 7) weight (May be measured and recorded by ancillary staff)
General appearance of patient (eg, development, nutrition, body habitus, deformities, attention to grooming)
Assessment of ability to communicate (eg, use of sign language or other communication aids) and quality of voice[textarea name="field_name" default="sample text"]
Head and Face
Inspection of head and face (eg, overall appearance, scars, lesions and masses)
Palpation and/or percussion of face with notation of presence or absence of sinus tenderness
Examination of salivary glands Assessment of facial strength [textarea name="field_name" default="sample text"]
Eyes
Test ocular motility including primary gaze alignment[textarea name="field_name" default="sample text"]
Ears, Nose, Mouth and Throat
Otoscopic examination of external auditory canals and tympanic membranes 
including pneumo-otoscopy with notation of mobility of membranes 
Assessment of hearing with tuning forks and clinical speech reception thresholds (eg, whispered voice, finger rub)
External inspection of ears and nose (eg, overall appearance, scars, lesions and masses)
Inspection of nasal mucosa, septum and turbinates
Inspection of lips, teeth and gums
Examination of oropharynx: oral mucosa, hard and soft palates, tongue, tonsils and posterior pharynx (eg, asymmetry, lesions, hydration of mucosal surfaces)
Inspection of pharyngeal walls and pyriform sinuses (eg, pooling of saliva, asymmetry, lesions)
Examination by mirror of larynx including the condition of the epiglottis, false vocal cords, true vocal cords and mobility of larynx (Use of mirror not required in children)
Examination by mirror of nasopharynx including appearance of the mucosa, adenoids, posterior choanae and eustachian tubes (Use of mirror not required in children)[textarea name="field_name" default="sample text"]
Neck
Examination of neck (eg, masses, overall appearance, symmetry, tracheal position, crepitus)
Examination of thyroid (eg, enlargement, tenderness, mass)
[textarea name="field_name" default="sample text"]
Respiratory
Inspection of chest including symmetry, expansion and/or assessment of respiratory effort (eg, intercostal retractions, use of accessory muscles, diaphragmatic movement)
Auscultation of lungs (eg, breath sounds, adventitious sounds, rubs)[textarea name="field_name" default="sample text"]
Cardiovascular
Auscultation of heart with notation of abnormal sounds and murmurs
Examination of peripheral vascular system by observation (eg, swelling, varicosities) and palpation (eg, pulses, temperature, edema, tenderness)
[textarea name="field_name" default="sample text"]
Lymphatic
Palpation of lymph nodes in neck, axillae, groin and/or other location
[textarea name="field_name" default="sample text"]
Neurological/Psychiatric
Test cranial nerves with notation of any deficits Brief assessment of mental status including
Orientation to time, place and person,
Mood and affect (eg, depression, anxiety, agitation)[textarea name="field_name" default="sample text"]