Here's how I see it....the nature of the presenting problem is chosen before the visit (it's like a guideline that should help determine risk and set up the level of care needed) and the MDM is determined after.
Use the final MDM to drive your code. The MDM accounts for the points of final dx, actual work-up, tests ordered/reviewed/risk, etc...
In a sense, they are cousins...again....the NOPP is used to determine the appropriate level to build.
I think your doc is on the right track in wanting to bill a code that is medically necessary, but I think he misunderstands... overall the documentation determines the codes, the MDM supports it.
Does that make sense? Ha! Sorry, I am working on a nursing home audit, so you can imagine my brain is mush after 7 hours!
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