• 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 your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Medical Decision Making - additional work-up

kte01a

Networker
Messages
51
Location
Greenville, SC
Best answers
0
If a physician schedules major surgery to treat a new problem, identifying risk factors, etc, is this considered additional work-up (in the context of Medical Decision Making), giving 4 pts towards the number of diagnoses or management options? I cannot find anything concrete as to how "additional work-up" is defined.
 
Messages
4,466
Location
Milwaukee WI
Best answers
0
Not to me

Scheduling surgery does not equal "additional work-up" to my way of thinking.

Scheduling additional diagnostic procedures (e.g. colonoscopy to discover reason for blood in stool), requesting additional consultation, ordering additional tests are all examples of what I consider as "additional work-up."

F Tessa Bartels, CPC, CEMC
 

Lisa Bledsoe

True Blue
Messages
2,045
Location
Greeley, Colorado
Best answers
0
Table of Risk

I am in complete agreement with Tessa. In this scenario it would appear that the work up has been done and decision for surgery made, which falls into the table of risk.
 
Last edited:
Top