Genitourinary medicare PE requirements

[textarea name="field_name" default="sample text"]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)[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
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 (e.g. pulses, temperature, edema, tenderness)[textarea name="field_name" default="sample text"]
Gastrointestinal
Examination of abdomen with notation of presence of masses or tenderness
      (Abdomen)
Examination for presence or absence of hernia Examination of liver and spleen
Obtain stool sample for occult blood when indicated[textarea name="field_name" default="sample text"]
Genitourinary
Inspection of anus and perineum
    Examination (with or without specimen collection for smears and cultures) of genitalia including:
Scrotum (eg, lesions, cysts, rashes)
Epididymides (eg, size, symmetry, masses)
Testes (eg, size, symmetry, masses)
Urethral meatus (eg, size, location, lesions, discharge)
Penis (eg, lesions, presence or absence of foreskin, foreskin retractability, plaque, masses, scarring, deformities)
Digital rectal examination including:
Prostate gland (eg, size, symmetry, nodularity, tenderness)
Seminal vesicles (eg, symmetry, tenderness, masses, enlargement) Sphincter tone, presence of hemorrhoids, rectal masses 
FEMALE:
Includes at least seven of the following eleven elements identified by bullets: Inspection and palpation of breasts (eg, masses or lumps, tenderness,
symmetry, nipple discharge)
Digital rectal examination including sphincter tone, presence of hemorrhoids, rectal masses
Pelvic examination (with or without specimen collection for smears and cultures) including:
External genitalia (eg, general appearance, hair distribution, lesions) Urethral meatus (eg, size, location, lesions, prolapse)
Urethra (eg, masses, tenderness, scarring)
Bladder (eg, fullness, masses, tenderness)
Vagina (eg, general appearance, estrogen effect, discharge, lesions, pelvic support, cystocele, rectocele)
Cervix (eg, general appearance, lesions, discharge)
Uterus (eg, size, contour, position, mobility, tenderness, consistency, descent or support)
Adnexa/parametria (eg, masses, tenderness, organomegaly, nodularity) Anus and perineum
[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"]

Skin
Inspection and/or palpation of skin and subcutaneous tissue (eg, rashes, lesions, ulcers)

Neurological/Psychiatric
Orientation (eg, time, place and person) and
Mood and affect (eg, depression, anxiety, agitation) [textarea name="field_name" default="sample text"]