MDM; Diagnosis data points

Tonyj

True Blue
Messages
617
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0
My MAC is Novitas Solutions. My question is under Number of diagnoses or treatment options.
New problem; additional workup planned 4 points. If the physician orders bloodwork the same day of service, does it count as additional workup? Novitas stated workup to be anything above and beyond the date of service. I'm looking for documentation to substantiate this.
 

Amanda__

Networker
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30
Location
NYMAC Jamaica Chapter
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0
New problem = 4 pts. if the doctor is ordering labs, CT, and EKG, you are allowed to get those additional points under amount and complexity of data reviewed. Hence, these are the additional workup. I've been taught this way in school and throughout my career. There are some things I disagree with when I tune in Novitas webinars and teleconferences.
 
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