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Thread: Intnsivist (MDM) Subsequent visit

  1. #1
    Join Date
    Apr 2007

    Default Intnsivist (MDM) Subsequent visit

    AAPC: Back to School
    I'm saying yes, but going of this.

    Is this a HIGH MDM.

    I'm just trying to get a feel for interpreting this, I came from a Family Practice setting doing E/M, and thats a different mind frame from interpreting Family Practice MDM vs Intensivist MDM.

    #Acute on chronic respiratory insufficiency: trach removed 2/09 per mother. Likely from recurrent aspiration and mucus plugging, s/p diagnositic thoracenthesis without evidence of empyema on R. Acute episode 11/10 related to mucus plugging.
    -cont chest PT, pulm toilet, bronchodilators, will change to BID and every two hours prn
    -abx per ID, on merrem/flagyl
    -cont NPO and aspiration precautions.

    #PNA with parapneumonic effusion: s/p right sided thoracenthesis. Exudative but no evidence of empyema
    -Continue Abx, O2 for now
    -follow L effusion, consider thoracentesis if fever or leukocytosis. will monitor for now as pt clinically improving

    #S/P hemorrhagic CVA with significant deficit. The patient is nonverbal.
    -Continue supportive care, frequent turning

    # G tube infection/ malfunction s/p replacement.
    -tolerating tube feed, cont wound care

    D/W Mom

    thank you

  2. #2
    Join Date
    Apr 2007


    Any takers

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default See my response

    See my response to your other question

    F Tessa Bartels, CPC, CEMC

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