I will try to help you with some of these questions but do not know the answer to all. Here goes:
1. Charge for the orthosis. The EM code would depend upon physician documentation and would be based on many factors, not just on the basis of ordering a test, applying a splint etc... All of these things would need to be considered but would not be the sole basis for the level of service.
3. Again, you could not base the level of service soley on the fact that an IV was given. Many other circumstances would need to be considered. You would get a Moderate level of risk under Management Options of MDM (1995 guidelines) but this alone would not decide your level of service.
4. Not familiar with the T-Chart system.
5. Again, you cannot base the level of service soley on the number of tests ordered.
6. Refer to answer #5 above.
7. Not sure what you are asking here. Data points are assigned according to the amount and complexity of data for the visit. The risk level is assigned according the presenting, problems, diagnostic procedure or management options. And again, this alone does not decide the level of service.
I have an audit worksheet based on the 1995 guidelines and would be happy to forward you a copy if you are interested. I hope I have answered some of your questions and maybe someone else can help you as well. Good Luck!
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