tci ED Coding & Reimbursement Alert - 2019 Issue 4

E/M Coding: Get A Handle on the MDM Level of Risk Data Points

Can you count the points on the medical decision-making aspect of your documentation? Imagine this scenario: The ED physician orders an EKG or chest x-ray, then also reviews the image or tracing. How many data points can you count in the medical decision-making (MDM) portion of your E/M score? Some ED coders will assign one point, others will say you should get two, while still others would count three. This question is among the many issues that affect coders who code emergency physician charts, since MDM is a crucial part of the equation for the coding ED E/M services...

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