Unlock the full potential of your medical coding capabilities with the CPT® Advanced Coding Pack from the American Medical Association (AMA). Designed for professional medical coders, auditors, and billers like you, this comprehensive suite of resources provides everything you need to navigate the complexities of the CPT code set with confidence and precision.
Advanced Coding Pack includes:
CPT Assistant - Newsletter with official education and guidance
CPT Knowledge Base - Commonly asked coding questions answered by the experts
CPT Vignettes - Comprehensive clinical examples.
Add to your Find-A-Code subscription for $300 / person
tci General Surgery Coding Alert - 2023 Issue Q3
You Be the Coder: Consider Test Order for MDM
Question: During an office visit, the surgeon ordered specific lab tests for inflammation and H. Pylori infection to help determine the need for an EGD. The patient refused to complete the lab work. Should the surgeon still include the lab test order when determining the complexity of the encounter?
Illinois Subscriber
Answer: Yes, you should factor the surgeon’s order for a diagnostic test into the medical decision making (MDM) or the care/treatment plan. Ensure that you have documentation of the test order, and preferably, an indication that the patient refused the test.
Here’s why: The physician’s...
To read the full article, sign in and subscribe to tci General Surgery Coding Alert.
Leverage vital, to-the-point monthly guidance to boost your reporting accuracy and your coding know-how. We make it convenient for your team to stay informed, compliant, and profitable with a subscription to TCI’s General Surgery Coding Alert.
Current newsletters added each month
Fully searchable archives - over 2100 articles
ALL years/issues back to 1999 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:
Quick, Current, Complete - www.findacode.com