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Coding MDM for E/M

Jamie Posted Mon 16th of January, 2017 13:25:06 PM
When it comes to coding an O/V for Medical Decision Making...What is considered an "Independent review of diagnostic study"?
SuperCoder Answered Tue 17th of January, 2017 08:19:40 AM

 Medical decision making for office visit

"Independent review of diagnostic study" is included in table for Amount and/or complexity of data reviewed.

Table for Amount and/or complexity of data reviewed includes- 1) Review and summary of old records and/or obtaining hx from someone other than patient and/or discussion with other health provider.

2) Independent visualization of image, tracing, or specimen.

Two points are given to each of these.

SuperCoder Answered Tue 17th of January, 2017 08:19:40 AM
I am working on this query, will get back to you soon.
SuperCoder Answered Thu 19th of January, 2017 00:56:36 AM

 Medical decision making for office visit

"Independent review of diagnostic study" is included in table for Amount and/or complexity of data reviewed.

Table for Amount and/or complexity of data reviewed includes- 1) Review and summary of old records and/or obtaining hx from someone other than patient and/or discussion with other health provider.

2) Independent visualization of image, tracing, or specimen.

Two points are given to each of these.

- See more at: https://www.supercoder.com/my-ask-an-expert/topic/coding-mdm-for-em#sthash.ulU2Nhhn.dpuf

SuperCoder Answered Thu 19th of January, 2017 00:56:39 AM
I am working on this query, will get back to you soon.
Jamie Posted Thu 19th of January, 2017 17:03:14 PM
So this would be our provider doing an independent review on an image the pt brought in from another clinic even though it has already been reviewed by the ordering provider?
SuperCoder Answered Mon 23rd of January, 2017 01:26:33 AM

This would be the billing provider doing an independent review on an image the pt brought in from another clinic.

Jamie Posted Thu 15th of March, 2018 21:09:47 PM
We need more clarification on "Independent Review"...When our office is doing an EKG and/or CXR and we are sending this out for a review by a cardiologist/radiologist does this count towards an "Independent review of diagnostic study" for 2 points for complexity of data for medical decision making?
SuperCoder Answered Tue 20th of March, 2018 00:28:20 AM

Hi,

Please ask your query in a new post as this query was asked one year back and we responded back to you. 

Thanks,

 

 

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