tci E/M Coding Alert - 2020 Issue Q4

Reader Questions: Test Your MDM Knowledge Before Calculating Level

Question: The 2021 office and outpatient E/M guidelines for medical decision making (MDM) state that “ordering of each unique test” and “review of each unique test(s)” can be counted toward the amount and/or complexity of data to be reviewed element of MDM. Does this mean our provider can count lab tests when the order goes to our in-house lab and our office receives the reimbursement for the test? And can we also get MDM credit for reviewing and analyzing the tests at a subsequent appointment? Illinois Subscriber Answer: First, in calculating MDM, a provider or a qualified...

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