Wiki Mdm

[torih@nwurology.com]

I would like to clarify something. We are a Urology practice and pt's will come in with multiple urinary problems/dx's. For the MDM box A, does each of the dx get a point? I've been told yes and no. No because it's the same body area.

Thanks!
Tori Hunt, CPC

 

[antonio3x3]

For the MDM, you count each dx as 1 point, regardless of body area. The body area / organ system come into play when you're looking for the history or the exam.

 

[MikeEnos]

Keep in mind though that if you have a definitive diagnosis, you shouldn't count each sign/symptom as an additional diagnosis. Those are sort of 'bundled' into the definitive diagnosis.