DecisionHealth, DecisionHealth - 2025 Issue 6 (June)

Consult the details for MDM discussions for accurate E/M coding

Question: When our doctors requests a consult from another doctor, how can we tell whether our physician can count the conversation toward “discussion of management or test interpretation with external physician or other qualified health care professional or appropriate source (not separately reported)” in the data review column for medical decision-making (MDM)? Do we need to coordinate with the other physician’s practices that the consulting physicians work for to make sure they aren’t counting it too?

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