CPT Knowledgebase - Jan 2, 2024

I am unclear on how to select the appropriate level of medical decision making (MDM) for evaluation and management (E/M) Services in the 'Number and Complexity of Problems Addressed' element when there are two or more uncomplicated illnesses/conditions. Per the MDM table, addressing one acute, uncomplicated illness or injury equates to an MDM level for that element of 'Low'. If two acute, uncomplicated illnesses/injuries are addressed, does the E/M level for that element move up to the next level (in this case, to moderate)?

To view the Official AMA answer and 1000s more like this:

CPT® Knowledge Base is a compendium of real life coding questions asked by the coding community and answered by CPT® coding experts.

Over 2900 questions and authoritative answers from the CPT® professionals at the AMA. Get specific answers to challenging coding questions, and search the knowledge base of others' real world questions.

Access to this feature is available in the following products:
  • AMA's CPT® Advanced Coding Pack

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.