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General Surgery Coding Alert

You Be the Coder:

Consider Test Order for MDM

Published on Fri Jun 16, 2023

Question: During an office visit, the surgeon ordered specific lab tests for inflammation and H. Pylori infection to help determine the need for an EGD. The patient refused to complete the lab work. Should the surgeon still include the lab test order when determining the complexity of the encounter? Illinois Subscriber Answer: Yes, you should factor the surgeon’s order for a diagnostic [...]
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