taurus7694
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I am a CPC for an Orthopedic office. The coders have been told that we will now be auditing E/M levels to help educate our physicians. We are very confused about the 1997 guidelines in regards to the MDM-Amount and/or Complexity of Data Reviewed section.
Our physicians see a patient and the majority of the time an xray is ordered, taken in the office, and reviewed (visualized) that day in the office by the physician himself.
Our question is: How do we score this in the Data section? Do we give them 1 pt for "review and/or order tests in radiology section" and 2 pts for "Independent visualization of image..not just reviewing the report" for a total of 3 pts.
OR
Do we only give them 1 pt for the "review and/or order tests in radiology section" ??
Does "independent visualization of image...not just review of report" only count if the physician pulls up an image that was taken in the ER days prior to the patient's visit or if the patient brings in a CD of an MRI obtained at another site??
any help with this will be greatly appreciated
Our physicians see a patient and the majority of the time an xray is ordered, taken in the office, and reviewed (visualized) that day in the office by the physician himself.
Our question is: How do we score this in the Data section? Do we give them 1 pt for "review and/or order tests in radiology section" and 2 pts for "Independent visualization of image..not just reviewing the report" for a total of 3 pts.
OR
Do we only give them 1 pt for the "review and/or order tests in radiology section" ??
Does "independent visualization of image...not just review of report" only count if the physician pulls up an image that was taken in the ER days prior to the patient's visit or if the patient brings in a CD of an MRI obtained at another site??
any help with this will be greatly appreciated