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Wiki Disease Management E&M

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cyprice

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Would it be appropriate to count reviewing the labs to assess a pt's blood sugar as a physical exam element under the hematologic/immunologic/lymphatic system? I'm clarifying for the provider whether this can be considered part of the physical exam vs. strictly part of the medical decision-making.

Thanks,
Cyndi
 
Reviewing labs

Reviewing labs is a data element in determining MDM. It is not part of the examination of the patient.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
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