Wiki MDM Components

[jlb102780]

Good Afternoon Everyone!!

I'd like some additional feedback on calculating the different elements on the Medical Decision Making.

Example:
DX/Mgmt Options is falling under Extensive
Data points is falling under Extensive
Table of Risk is falling under Moderate

How I read the guidelines is 2 of the 3 elements must meet or exceed to qualify for a level.

So if you have Extensive, Extensive, and Moderate, would you code the MDM as High Complexity since 2 of the 3 are meeting? There is some debate regarding this and I'd like to see how other's view the MDM.

Thanks for your time and input

 

[CatchTheWind]

Yes, because you discard the lowest of the three and then use the lower of the remaining two.

 

[jlb102780]

Yes, because you discard the lowest of the three and then use the lower of the remaining two.

I agree

There is a company stating that The Table of Risks must be a component in the selection. I don't agree with this statement. No where in the Medicare Guidelines does it state that. It only states 2 of the 3 elements must be met or exceed to qualify for a level of Decision Making. Are there any other coder's out there that use the Table of Risks solely on the MDM selection?