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Thread: Add'l workup planned = further care ?

  1. #1

    Default Add'l workup planned = further care ?

    AAPC: Back to School
    Does anyone use this interpretation when auditing for MDM? We had a patient seen in the ER for abdominal pain and after tests were reviewed by the surgeon, a diagnosis was made and it was determined she required surgery to take care of the problem. The tests were ordered by the ER, not the surgeon. A consultant told us because the patient was being taken to surgery it's considered add'l workup planned because further care is required. Therefore this would get 4 points. My understanding of workup was testing to determine what the problem is, not treatment for the problem. Is anyone familiar with this take on the issue?
    Sue Vermette, CPC

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Additional work-up = diagnostic

    I interpret additional work-up to mean additional diagnostic work required. This MIGHT be a surgery (diagnostic lap for example).

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3


    That's the way I think of it too-diagnostic as opposed to therapeutic. Thanks for the response.
    Sue Vermette, CPC

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