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MDM and Seizure

  1. #1
    Location
    Overland Park, KS
    Posts
    1,166
    Default MDM and Seizure
    Medical Coding Books
    A male patient came into our clinic complaining of headache, sore throat, and fatigue. He tested positive for mono and was also diagnosed with pharyngitis. He had a seizure while in the office lasting 30 seconds. 911 was called and the patient was transported to the ER.

    Here is my question....I understand that the seizure would constitute high risk, but what about the points for the diagnoses/management options? Would I assign 3 points for new problem (this is a new patient) with no additional w/o, or since the patient was transported to the ER, would it be 4 points? Does a transfer to the ER equal addtional w/o? Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  2. #2
    Default
    The scenerio you gave would constitute 4 points under the diagnosis or treatment options. The patient is new and the problems are new with additional work up, the lab work that diagnosis him with mono.

    Hope this help,
    Randi


    "Life isn't about waiting for the storm to pass...It's about learning to dance in the rain."

  3. #3
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Thanks so much!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

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