Results 1 to 5 of 5

Medical Decision Making - additional work-up

  1. #1
    Greenville, SC
    Question Medical Decision Making - additional work-up
    Medical Coding Books
    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.

  2. #2
    Milwaukee WI
    Default 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

  3. #3
    Greeley, Colorado
    Default 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.
    Last edited by Lisa Bledsoe; 03-18-2009 at 07:26 AM.
    Lisa Bledsoe, CPC, CPMA

  4. #4
    North Carolina
    Agreed...this is how I utilize the audit tools, also

  5. #5
    Greenville, SC
    Sounds good. Thanks all!

Similar Threads

  1. Medical Decision Making - with an oncologist
    By jhammond0128 in forum Auditing General Discussion
    Replies: 1
    Last Post: 04-10-2015, 04:03 PM
  2. Medical Decision Making - illness or injuries
    By midnightsun1369 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 03-27-2015, 12:17 PM
  3. Help with E/M Medical Decision Making
    By jflynn in forum E/M
    Replies: 3
    Last Post: 11-17-2011, 08:05 PM
  4. Medical Decision Making
    By in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-16-2011, 10:34 AM
  5. Medical Decision Making - risk component
    By ARCPC9491 in forum E/M
    Replies: 31
    Last Post: 08-18-2008, 02:23 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.