This is my "student" opinion and only based upon limited study experience. First of all when the patient returns for the F/U it's not stated whether or not the patient's condition is improving or stable. That factor would be important in determining whether the overall MDM factor would be low or minimal. No exam was given, and being a returning and now established patient you only need the HX and MDM which in this case COULD be a 99213 or 99212, but surely not a 99214. The medication management as moderate is only one tenant of the MDM process and even with the MDM proving to be minimal or low, you still can't boot this up to a 99214I'm interested in input from the experienced veterans and coders of this field, too, as I hope my comments are on the right track and if not someone can set me straight! ---Suzanne E. Byrum, CPC
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