tci Medicare Compliance & Reimbursement - 2023 Issue Q1

Part B Coding Coach: ED Coding: Add This Tetanus Shot Primer to Your Toolkit

Critical: Calculate how a tetanus shot factors into MDM risk. When coding an evaluation and management (E/M) service, coders must calculate the level of medical decision making (MDM) associated with the patient’s care. According to Todd Thomas, CPC, CCS-P, president of ERcoder, Inc., in Edmond, Oklahoma: “While we are currently in a transition period as ED coders are preparing for the implementation of the 2023 E/M guidelines, current and future MDM requirements include ‘risk of complications and/ or morbidity or mortality’ as part of assigning a value to the MDM.” Where a tetanus shot fits...

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