Technically, it is not true since you must have only two of the three components to code a follow up visit. HOWEVER, having said that, if one of the components is not MDM, then you leave yourself open to having the payer deny the claim altogether as "not medically necessary". Think of it like this: You can do a comprehensive history and a comprehensive examination on a patient who's only complaint is a hangnail and technically qualify for a 99215, but is that really necessary? I find it is always more accurate if you include MDM as one of your components every time. You will get a more accurate code that way. :-)
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