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Amount and/or complexity of data to be reviewed

  1. #1
    Default Amount and/or complexity of data to be reviewed
    Medical Coding Books
    Under review and / or order of clinical lab test (and test in the radiology section) does this apply to only labs that were ordered at the time of the encounter and / or then reviewed during the same visit?

    If labs or Xrays were done at the previous visit and the patient is brought back to go over the results at a later visit do we count them under old records reviewed or under this?


  2. #2
    Milwaukee WI
    Default And/or
    By definition "and/or" means that you did both (and) -or- that you did one or the other.

    So, whether they were:
    A) just ordered, or
    B) they were ordered, performed and reviewed, or
    C) results of previously ordered tests were reviewed
    I count them as data points under the "review and/or order of clinical lab tests" (or radiological or medical tests, as per the note).

    F Tessa Bartels, CPC, CEMC

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