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1995 Guideline E&M Question

mmelcam

mmelcam

Expert
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262
Location
St. Louis, Missouri
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?
 
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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