Question 2021 MDM and In-House Scanner

LauraNewYork

Networker
Messages
31
Location
Clay, NY
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Good Morning,
I am looking for clarification on the new 2021 EM MDM scoring for the Amount and/or Complexity of Data to be Reviewed and Analyzed Category 1.

We are a moderate sized multi speciality oncology group. We own our lab and CT scanner.

Question: Do we get credit for ordering lab tests or CT scans done at our facility for those tests where we do not provide the professional component?
Here is a example: We bill 74150(TC mod) for a CT-abd on the equipment we own. The professional reading is done by a group not associated with our practice. Would we be able to use this CT as an point for the Medical Decision Making (outpatient)? I already understand that if we provide both technical and professional components of a test that it does not count and is considered "double dipping". Thank you for your help
 

nikkitaylor

Contributor
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Hi, if you are billing for the lab tests and or CT scan separately, you should not count this towards the data element of MDM. In this scenario, you are unable to bill for the ordering, because you have still billed for a portion of the test. Hope that helps!

Nikki Taylor, MSHCI, COC, CPC, CPMA, CRC
Sr. Development Editor AAPC
 

LauraNewYork

Networker
Messages
31
Location
Clay, NY
Best answers
0
Hi, if you are billing for the lab tests and or CT scan separately, you should not count this towards the data element of MDM. In this scenario, you are unable to bill for the ordering, because you have still billed for a portion of the test. Hope that helps!

Nikki Taylor, MSHCI, COC, CPC, CPMA, CRC
Sr. Development Editor AAPC
Thank you for your reply.
 
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