1995 Guideline E&M Question

mmelcam

Expert
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262
Location
St. Louis, Missouri
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A patient came in to see us for a hernia evaluation but when going over past medical history states that he has hypercholesterolemia-stable. When using the 1995 guidelines under medical decision making, number of diagnosis or treatment options I would count 3 under new problem (to examiner); no additonal workup planned for the hernia. My question is, can I count 1 under self-limited or minor for the hypercholesterolemia-stable condition if this is something we do not see the patient for?
 

Kris Cuddy

Guru
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Location
East Lansing, MI
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You're right to question that. It would not be counted because truly it's not something your provider is treating and isn't a comorbidity of the hernia. It's just past medical history of illnesses and injuries.

Hope that helps,

Kris
 
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