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MDM--ADDITIONAL WORK UP

Charlene Posted Tue 12th of November, 2019 20:41:55 PM
After reviewing earlier posts, one of the replys seemed to be quoting "guidelines" saying any testing ordered for outside of the encounter was considered additional work up. Can you tell me where to find these guidelines? Patient has abnormal lab work and provider wants to repeat labs in 3 months. Would this be considered additional work up?
SuperCoder Answered Wed 13th of November, 2019 07:59:34 AM
Hi Thanks for your question Additional workup planned means that the provider after examining the patient orders for clinical lab or radiology tests The guidelines for additional work up planned varies with payer You can refer to below link for the Additional versus No additional workup criteria on FAQ no...

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