• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki MDM for encounter

Create Wiki
K

KellyLR

Expert
Messages
278
Location
La Plata, MD
Best answers
1
Trying to bring back from the dead my E/M skills. haven't been using them for a while.
My question is this:

If a physician makes SF MDM for an encounter except that the physician is to send the new patient to a specialist for further management options and then RTC for review, does this consult bump the MDM to low complexity MDM?

CC Pain in wrist
Hx Detailed
EX Detailed
A/P Ganglion cyst. Given consult to orthopedist for opinion and management. To RTC after consult.

Your views are appreciated. Just curious to see how others respond to this scenario.

Thank you!:)
 
Last edited:
Mdm

You also have to take into consideration what data the provider reviewed and/or ordered as well as diagnostic testing. So, I guess my question to you would be, what else did the provider do besides refer the patient to another doctor?
 
IMO - I do not think the referral to the specialist alone is enough to bump the MDM, your provider would need to give more information on why they are referring. (i.e. is there a mild or severe exacerbation of the condition, is it affecting other systems)
 
You must log in or register to reply here.
Top