I am having problems with EM questions where I am provided with the info and need to decide what code to select. [If somebody can please help me understand this I would be grateful. [/B] This is the question along with the answer and why it is this answer. I do not get it.
Question
Jenny returned to Dr. Hinder five years after her last visit. She rendered herself for eczema that had progressed. Dr. Hinder performed a comprehensive exam and a detailed history. The documentation for the encounter indicated multiple management options a moderate amount of data to be reviewed and a high risk of complications. What level should you report?
a. 99202
b. 99203
c. 99204
d. 99205
The correct answer is B
This is the rational that was provided to me by the computer and I am extremely confused. Rationale new pt has not been seen in three years who presents for a office visit. The DR meets or exceeds three of these requirements to bill for this level. This level requires a detailed history a detailed exam and low complexity medical decesion making.
According to the scenario it says multiple management options which would which would be multiple. A moderate amount of data to be review which would be moderate. And a high risk of complication which would equal HC.
I thought you needed to come up with 2 out of three criteria for MDM. How does Multiple, Moderate, High risk would you come up with Low Complexity Decesion Making.
Maybe I am looking at this all wrong but if somebody can explain this to be in simple terms I would be grateful. I realize their must be a easy way to go about this but I am having major difficulties.
Thanks
Eddie Sottong
Question
Jenny returned to Dr. Hinder five years after her last visit. She rendered herself for eczema that had progressed. Dr. Hinder performed a comprehensive exam and a detailed history. The documentation for the encounter indicated multiple management options a moderate amount of data to be reviewed and a high risk of complications. What level should you report?
a. 99202
b. 99203
c. 99204
d. 99205
The correct answer is B
This is the rational that was provided to me by the computer and I am extremely confused. Rationale new pt has not been seen in three years who presents for a office visit. The DR meets or exceeds three of these requirements to bill for this level. This level requires a detailed history a detailed exam and low complexity medical decesion making.
According to the scenario it says multiple management options which would which would be multiple. A moderate amount of data to be review which would be moderate. And a high risk of complication which would equal HC.
I thought you needed to come up with 2 out of three criteria for MDM. How does Multiple, Moderate, High risk would you come up with Low Complexity Decesion Making.
Maybe I am looking at this all wrong but if somebody can explain this to be in simple terms I would be grateful. I realize their must be a easy way to go about this but I am having major difficulties.
Thanks
Eddie Sottong