tci E/M Coding Alert - 2024 Issue Q1

Knowledge Check: Find Clarity Amidst MDM Coding Confusion

Hint: Look to MACs for guideline help. The gray areas inherent to medical decision making (MDM) seem perpetual, and some situations seem particularly murky for even expert coders. Check out these scenarios and see if you know what to do. Know That a Patient May Refuse a Test Scenario 1: The physician orders a diagnostic electrocardiogram (ECG), but the patient refuses to undergo the test. You’re trying to determine the encounter’s complexity level, which leads you to wondering whether the physician should still get credit for the order. What you should know: Physicians frequently recommend a test...

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