Starting Jan. 1, physicians will be able to code evaluation and management visits based solely on medical decision making (MDM), which includes these three elements:
Once you’ve determined which category the problems, data, and risk fit into, the overall visit level is determined by the highest level reached by at least two out of three of the elements. For example, a visit in which the problems were moderate, but the data was limited and the risk was low would be a “low” MDM visit overall, and would be coded as either a 99213 or, if it’s a new patient, a 99203.
For more details and examples, see this American Medical Association grid.
Read the full FPM article: Countdown to the E/M Coding Changes.
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