I wish I could give you a specific black and white printed answer, but that would make life to simple. What I do know is that Dr. Deborah Patterson, the medical director for my MCR carrier (Trailblazer) stated that medical necessity is always the driving factor. Yes, I know that coding rules say on subsequent visits you can use 2 of 3 to determine your level, but she emphasized that you need 2 of 3 and one of the three has to be MDM. If you don't stick with MDM, then you could document a really good history and exam for a "cold" and call it a high level visit. You didn't specify what type of visit, if it is an initial you must meet all three criteria to bill a level, the code is then based on whichever element is the lowest.
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