Results 1 to 3 of 3

MDM questions

  1. #1
    Default MDM questions
    Medical Coding Books
    I just recently started coding ER encounters.

    I'd like to know what the ER coders out there are considering additional work-up for the presenting problem.

    I'm being told that you'll never get +4 pts on the presenting problem table. Is this true?

    Thanks
    Daniel,CPC

  2. #2
    Default
    Hi Daniel,

    Per the AAPC CEDC Practicum, additional workup in the ED does not include results available during the ED visit.

    Some examples of additional workup include a scheduled appointment or testing post ED documented by the ED provider, admission to inpatient or observation status and transfer to another facility or to the OR.

    There are organizations that assign additional workup planned when three or more ancillary studies or a special study (CT, MRI, US) are ordered.

    To answer your question about never getting 4+ points, I never say never. A patient presenting with a finger lac requiring sutures could experience Status Epilepticus resulting in an admission.

  3. #3
    Location
    Atlanta, GA
    Posts
    10
    Default
    Quote Originally Posted by Mojo View Post

    To answer your question about never getting 4+ points, I never say never. :
    I agree, dealing in absolutisms is looking for trouble in this field. Though I would say the majority of charts that I come across don't meet for the 4+ points there, we do come across a good number of charts with additional workup planned. Another example that I see somewhat regularly that Mojo didn't mention is the doctor scheduling a cardiac stress test.

Similar Threads

  1. CPC practice exam questions vs. CPC actual exam questions
    By kbearden1985 in forum Medical Coding General Discussion
    Replies: 12
    Last Post: 02-02-2017, 12:43 PM
  2. Mdm
    By coder21 in forum E/M
    Replies: 6
    Last Post: 06-10-2015, 03:29 PM
  3. Mdm - Prescription drug management
    By pammalou in forum E/M
    Replies: 2
    Last Post: 02-24-2012, 11:16 AM
  4. mdm
    By anggand@aol.com in forum E/M
    Replies: 2
    Last Post: 10-27-2011, 10:42 PM
  5. Mdm - workup planned
    By Cuteyr in forum E/M
    Replies: 3
    Last Post: 10-23-2009, 08:40 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.