medical decision making

  1. L

    Wiki MDM with 2 history of codes

    I am trying to figure out E/M level here... I was told 2 history of diagnosis are considered stable chronic. So this would be a 99214 due to that and data points. Is this accurate? history of codes being "counted" this way? Can anyone provide any resources? Thank you in advance!
  2. K

    Wiki Medical Oncology Medical Decision Making

    Does anyone have any good resources for medical oncology MDM? My organization could really use something that outlines which treatment options help support high MDM. Any help/insight would be greatly appreciated. Thanks!
    • kevdurm
    • Thread
    • mdm leveling medical decision making medical oncology
    • Replies: 1
    • Forum: E/M
  3. J

    Wiki Do in office procedures count toward MDM column 3?

    If a physician decides to give and bill for an injection during an office visit does this count toward the MDM (column 3)? Patient presented with plantar fasciitis which is progressing in pain over the past several months. The provider then performed below injection: "At this time, the foot...
    • JoannaParz
    • Thread
    • double dipping e/m injection mdm medical decision making
    • Replies: 1
    • Forum: E/M
  4. S

    Wiki What element level of MDM would a specialist referral fall under 2021 E/M Guidelines?

    Our PCP providers would like to consider a referral to a specialist as a LOW RISK under column 3 of the 2021 E/M table for Risk of Complications and/or Morbidity or Mortality of Patient Management. In comparison to Box A. of the 2020 & earlier E/M table and guidelines, whether a condition was...
    • SLindloff
    • Thread
    • 2021 e/m 2021 e/m risk 2021 guidelines e/m changes mdm risk medical decision making referral referrals
    • Replies: 8
    • Forum: E/M
  5. D

    Wiki 2021 E/M MDM Element #3 - Minimal and Low Risk

    Does anyone have any clarification on the new 2021 E/M Guidelines when it comes to Element #3? I am having trouble being able to choose between minimal risk and low risk for a patient because they do not have specific bullet options in those two categories to pick from. For example, if a...
  6. L

    Wiki Identified Risk Factors in High Medical Decision Making for a Potential Malignancy

    There is a debate between the doctors and our department: An ultrasound was done and the patient has a 5 cm mass near her ovary. The MD is planning surgery to remove the mass, it is not known for certain whether or not the mass is benign or malignant. The MD believes that the mass is an...
    • Lanestor@gmail.com
    • Thread
    • high risk identified risk factor malignancy medical decision making oncology
    • Replies: 1
    • Forum: E/M
  7. M

    Wiki "Obtain hx from someone other than patient"

    This phrase is in the "Amount and/or Complexity of Data Reviewed" for one point and also for two. It is my understanding the "someone" must be a medical provider to get to that second point. What is the degree the "someone" must have to get to that second point? Is obtaining a patient's history...
    • mwing124@gmail.com
    • Thread
    • data review lpn medical decision making obtaining history
    • Replies: 1
    • Forum: E/M
  8. M

    Wiki E/M MDM: Data Reviewed

    How much data points for Lab and rad procedures ordered and interpreted by physicians? If a physician interpreted results of a lab and rad procedure which was performed on previous visit and then ordered another lab/rad during current visit, can we give points under "independent visualization"...
    • Michelle.Mendoza
    • Thread
    • data points evaluation and management medical decision making
    • Replies: 0
    • Forum: E/M
  9. M

    Wiki Colonoscopy Medical Decision Making Risk

    I am in the process of conducting an E&M audit for a gastroenterology practice. The majority of the patients are being seen for evaluation and subsequent scheduling of a colonoscopy. Most are due to family history and preventive reasons. While endoscopic procedures do carry risk i'm just not...
Top