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Neurosurgery Coding Alert

You Be The Coder:

First Encounter With MS Patient

Published on Mon Nov 06, 2023

Question: Encounter notes indicate that the surgeon treated a new patient with multiple sclerosis (MS) of the brain stem. First, they performed an office evaluation and management (E/M) service that included high-level medical decision making (MDM). Then, they performed a magnetic resonance imaging (MRI) of the brain without contrast materials followed by contrast materials. The surgeon does not own the MRI [...]
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