tci E/M Coding Alert - 2022 Issue Q3

Reader Questions: Understand When Rx Management Affects MDM

Question: Our pediatrician gave a patient a trial/sample medication. The doctor documented instructions and medical necessity in the patient’s record. Does this qualify as moderate risk for prescription drug management? AAPC Forum Participant Answer: The fact that the pediatrician gave the medication to the patient as a sample instead of as a prescription does not alter the medical decision making (MDM) risk level, providing the pediatrician monitors the medication’s effectiveness in treating the patient’s problem. The moderate risk of morbidity from treatment MDM level is for prescription drug management (emphasis added). Additionally, risk is determined not...

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


Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 500 articles
  • ALL years/issues back to 2013 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci E/M Coding Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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