On the Data reviewed in MDM, labs and xrays count as one point regardless of the number ordered and/or reviewed. But the Medicine section (90701-99199) does not state that stipulation so I have always counted multiples when the doc orders or reviews items from the medicine section. For example, if he reviews an echo and orders a cath, I would give 2 points in the Medicine section. We have a difference of opinion on this in our office. Is there any definitive literature on this out there anywhere?