Wiki MDM Sufficient?

Create Wiki
G

GSCoder07

Networker
Messages
65
Location
Bossier City, LA
Best answers
0
One of the physicians I code for has very minimal progress notes. They're generally follow ups for a broken bone or injury. He usually has 1 HPI point, no ROS and no Physical Exam. For the MDM (assessment), he writes: F/U (follow up) or F/U in 3 weeks. That is it, nothing else. Is this enough for a 99212?
Thank you in advance for your help!
 
I think it would be enough for a Level 2. You need 2/3, so you don't need any exams. 1-3 HPI Problem focused and straight forward MDM is a Level 2.
 
Does he at least give the presenting problem in the A/P? For example, does he say, Fracture, left wrist, F/U 3 weeks?
 
You must log in or register to reply here.
Top