Wiki E/M Level

[mcdream]

Hi all,

What level of MDM for column 2-Amount &/or Complexity of Data do you see for this visit?

F/U Diabetes. Sugars at home have been good.
#Diabetes- stable. A1c of 6.8 performed in clinic today. Continue insulin. Refill provided.
Orders
-Hemoglobin A1c
#Routine Healthcare Maintenance
Orders
-Lipid Set
-Complete Metabolic Set
-HIV Screen
-Mammogram Screening

I appreciate your input!

 

[jkyles]

Hi there, which tests did your practice perform and report?

 

[mcdream]

ordered, performed & reported the A1c.

ordered only the ones listed in the assessment/plan
#Routine Healthcare Maintenance
Orders
-Lipid Set
-Complete Metabolic Set
-HIV Screen
-Mammogram Screening

 

[blaymon]

Looks like a moderate, level 4 complexity of data to me.