andersee
Expert
There are 5 of us that have coded the following 2 scenarios and we can't agree on the level of MDM. Please help!!!!
Scenario #1: A child has flat feet for which the note states she has no pain and no difficulties with any activity. The MD states this problem should resolve itself in 2-3 years and, if she develops pain, she may come back for orthotics. follow-up prn.
Scenario #2: Same as above except the patient also is knock-kneed. No pain, no difficulties. Same A&P.
What is the level of medical decision making in each case (SF, low, mod)?
Thanks much!!!
Scenario #1: A child has flat feet for which the note states she has no pain and no difficulties with any activity. The MD states this problem should resolve itself in 2-3 years and, if she develops pain, she may come back for orthotics. follow-up prn.
Scenario #2: Same as above except the patient also is knock-kneed. No pain, no difficulties. Same A&P.
What is the level of medical decision making in each case (SF, low, mod)?
Thanks much!!!