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Wiki Add'l workup planned = further care ?

SUEV

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Does anyone use this interpretation when auditing for MDM? We had a patient seen in the ER for abdominal pain and after tests were reviewed by the surgeon, a diagnosis was made and it was determined she required surgery to take care of the problem. The tests were ordered by the ER, not the surgeon. A consultant told us because the patient was being taken to surgery it's considered add'l workup planned because further care is required. Therefore this would get 4 points. My understanding of workup was testing to determine what the problem is, not treatment for the problem. Is anyone familiar with this take on the issue?
 
Additional work-up = diagnostic

I interpret additional work-up to mean additional diagnostic work required. This MIGHT be a surgery (diagnostic lap for example).

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
That's the way I think of it too-diagnostic as opposed to therapeutic. Thanks for the response.
 
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