Hi,
A : Treatment Options -
Established problem: stable, improved - Point 1;
B : Amount of data -
Decision to obtain old records and/or obtain hitory from someone other
than patient, if done - point 1;
Review and summarization of old records, if done : points 2;
Review and/or order of tests in Medicine section, if done: point 1;
C : Risks and complictions and/or co-morbidity level -
For follow up in oncology is moderate usually;
With A as 1, B say 3 and comorbidity levels not very high, MDM can be moderate;
99213 can be coded if comborbidity levels are low; When they say stable, it implies risk factors are less and this can fall to 99213;
99214 if moderate-high risk factors like hemophilias, post-surgical anemia and dysplasias continue; This can be patient with new problems - A :3 minimum;
LM