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Thread: When HPI, Exam and MDM are different levels

  1. #1

    Default When HPI, Exam and MDM are different levels

    AAPC: Back to School
    For example if the HPI of a visit is a level 2, the exam is a level 3 an d the medical decision making is moderate, what code should be assigned to the visit?

    Thank you.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    If it is a new patient the lowest of the three key components will determine the level. If it is an established patient you are allowed to use the higher 2 so you may throw out the lowest and then the lowest of the remaining 2 will determine the level. for your example.
    new patient - 99202
    est patient 99213

    Debra A. Mitchell, MSPH, CPC-H

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