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Thread: Pediatric ER patient MDM

  1. #1

    Default Pediatric ER patient MDM

    AAPC: Back to School
    Can anyone tell me if documentation exists that medical decision making on pediatric ER patients can be higher even though the CMS medical decision making points system does not calculate a high level. For Example a provider sees a URI and does not provide RX management yet they feel they should be able to bill a level three with no lab, xray, consult or other work up being done. My experience tells me this is a level 2

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default No difference in Pediatric patients

    There is no different standard for pediatric patients ... though we sometimes wish there were ...

    F Tessa Bartels, CPC, CEMC

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