Wiki MDM calculations

[lrwinther]

In the guidelines it states "Note that to qualify for a given type of medical decision making, two of the three elements must either be met or exceeded." My interpretation is that all 3 need to be documented but only two of the three elements must meet or exceed a level to determine the type of decision making.

I have also received another interpretation that only 2 of the 3 need to be documented in order to determine the type of decision making.

Please help with this. Thank you!!

 

[Chelle-Lynn]

You would not always have all three elements. Such as the provider may not have anything that would apply to the data reviewed such as:

* Labs ordered or reviewed
* Xray ordered or reviewed
* Medicine ordered
* etc.

So in this case you would only have the diagnosis and risk factor to make the determination.