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Thread: Scopes w/Risk-Medical Decision Making

  1. #1

    Default Scopes w/Risk-Medical Decision Making

    AAPC: Back to School
    Scopes with Risk falls under High complexity decision making, however, the doc must also meet criteria in either complexity of data or number of diag to qualify for a complete High MDM. Here's where my question comes in. General Surgeon sees a new patient for say diarrhea, he documents that patient has HTN, Diabetes, and Sleep APNEA-however he is not treating these conditions. Do the chronic conditions "count" towards the number of diganosis/managment options when calculating the MDM?

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Not evaluating / treating

    In my opinion, if the physician is not evaluating/treating the condition I'd say no, it doesn't count towards his Problem points.

    F Tessa Bartels, CPC, CEMC

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