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Thread: ordering a consult re: MDM

  1. #1
    Join Date
    Apr 2007
    Spokane, WA

    Question ordering a consult re: MDM

    AAPC: Back to School
    I am getting different answers on this question. When a Doctor orders a consult from another physician, is that considered "additional work up" when counting the "number of diagnoses" portion of MDM? (3 points vs 4 points).

    Some say only labs, xrays, ordering notes from another provider, etc can be counted as "additional work up"... but I have also been told that ordering a consult is like ordering a test... you are expecting a "result" back in the form of a letter from the consulting physician.

    Any clarification would be great~ Thank you, Teresa

  2. #2
    Join Date
    Apr 2007


    You do receive results from the referred to physician. I don't believe this is an extra point in the MDM.

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