As per the EMR documentation, the Medical Decision Making (MDM) time should be higher due to the complexity of the case, specifically in relation to the patient's conditions. The case involved:
Given the complexity and the 75-minute MDM time documented, So should we downgrade 99223 to 99222? because getting MC. UHC denial for 99223
- Acute kidney failure
- Chronic illnesses including lung cancer and congestive heart failure (CHF)
Given the complexity and the 75-minute MDM time documented, So should we downgrade 99223 to 99222? because getting MC. UHC denial for 99223