Wiki Poll/question - MDM (review/order of tests in medicine section of CPT 9xxxx)

Table B – “Review and/or order of test in the medicine section of CPT (e.g. CPT 9xxxx

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scicchitanoa

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Hello fellow coders! Can you please share your opinions regarding calculating Medical Decision Making (MDM) level using the Marshfield Clinic Score sheet/Audit tool.

My question is specific to Table B – “Review and/or order of test in the medicine section of CPT (e.g. CPT 9xxxx series)”

Do you interpret the above to mean….

A) You could give 1 point when a physician reviews and/or orders an actual ‘test’ that is listed in the 9xxxx series (ex: EKG, EEG, EMG, Sleep medicine testing)?

OR​

B) You could give 1 point when a physician orders anything in the 9xxxx series even if the physician orders something list in the 9xxxx series that is not an actual ‘test’ (ex: hydration and infusion are both listed in the 9xxxx but these are not “tests”, also nebulizer treatment is listed in 9xxxx but this is a ‘treatment’ not a ‘test’)

Thanks! Ashley
 
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The key is DIAGNOSTIC

The purpose of the data review points have to do with diagnosis and medical decision making.

So ... I count only the diagnostic tests in the the medicine section

Hydration or infusions are not diagnostic, they are treatments. Might or Might not go towards determining the risk portion of MDM.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
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