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Wiki Medical Decision Making - additional work-up

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kte01a

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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.
 
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
 
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.
 
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