tci E/M Coding Alert - 2022 Issue Q3

Reader Questions: Don’t Think of CPAPs as Diagnostic

Question: A patient with sleep apnea was fitted for a continuous positive airway pressure (CPAP) machine, and they came in for a follow-up. The provider determined the patient’s compliance by downloading the smart card of the CPAP. Would this be included as ordering a procedure or independent interpretation when determining the level of medical decision making (MDM)? Maine Subscriber Answer: This would not likely count as either the ordering or independent interpretation of a test, and therefore would not be counted toward MDM. The card download helps the provider assess patient compliance. This is for the sake of...

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