Wiki Prescription drug management for discussion of RX and its risks?

wynonna

True Blue
Messages
528
Location
Hinsdale, MA
Best answers
0
MD discusses treatment options discussed at last visit including prednisone, risk of prednisone discussed and marginal potential benefit and patient prefers not to try the prednisone.
Is this moderate risk MDM? assuming prednisone is addressed at this visit
(ie with 2 chronic stable illnesses, would this be a 99214 for an established patient?)
thank you
 
As I understand it, a decision not to prescribe a medication, after treatment has been discussed and documented in the record, counts just as much as actually prescribing it. Same applies to decision for surgery. If I, as an OD, in discussion with a patient, decide to defer cataract surgery for a while, that counts the same as if the patient decided to proceed with the elective surgery when it comes to MDM.

Tom Cheezum, OD, CPC, COPC
 
Top