tci E/M Coding Alert - 2021 Issue Q2

Reader Questions: Follow These Bullet Rules

Question: For medical decision making (MDM) coding, should you count the order and review of a unique test as one bullet or two? Colorado Subscriber Answer: Though the guidelines for ordering, reviewing, and/or interpreting tests are still a little unclear, CPT® does state that “ordering a test is included in the category of test result(s) and the review of the test result is part of the encounter and not a subsequent encounter.” This seems to suggest that both ordering and reviewing a unique test should only be counted as one bullet in category 1 of the limited...

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