Wiki MDM - multiple Dx(s) & key elements

KoBee

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Would like some opinions and expertise if possible please. Not sure why I am questioning but I want to make sure I’m doing something correct.



If a patient comes in for:


Acute, uncomplicated injury = treats with ibuprofen 800mg (prescription med). Data/complexity (none)

Stable HTN/DM = treats with continue regimen and medication, no changes. Data/complexity (none)



Would this fall under 99213 because HTN/DM doesn't meet the 2 out the three elements. The only thing they are really treating with something is the uncomplicated injury, which doesn’t meet the 2 out of 3 elements.



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