tci E/M Coding Alert - 2019 Issue Q3

You Be the Coder: Learn the Right Way to Report Prescription Refills

Question: Can you count a routine prescription refill as a moderate level of risk when determining the level of medical decision making (MDM)? Nevada Subscriber Answer: If you consult a chart to determine level of risk, such as the one CMS provides at  www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/eval-mgmt-serv-guide-ICN006764.pdf, you will see that “prescription drug management” is listed as a clinical example of a moderate level of risk in terms of management options for a given presenting problem. However, in order to use it as a factor, you need to know what constitutes management, which is a question you...

To read the full article, sign in and subscribe to tci E/M Coding Alert.

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