Prescription Drug Management: Is it a Level 3 or a Level 4?

Article Overview

This article explains a common E&M audit question about how prescription drug management fits into medical decision making for established patient visits. It is aimed at coders, auditors, compliance staff, and clinicians who document and review visit complexity. The discussion focuses on the broader role of the Table of Risk, the relationship between presenting problem acuity and MDM level, and why documentation quality matters when determining whether a visit supports a higher level of service.