decisionhealth Newsletters, Part B News - 2025 Issue 7 (July)
The doc’s practice did the imaging test. Can we still count it toward MDM?
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Article Overview
This Q&A article is for coding professionals, billing staff, and clinicians who work with E/M documentation and diagnostic testing. It focuses on how medical decision-making is affected when imaging is ordered and then performed and reported by the same practice, including the distinction between separately interpreted diagnostic studies and other test types.
Why This Topic Matters
Accurate MDM counting affects E/M level selection and helps avoid overstating the work tied to diagnostic testing. The article addresses a common practice-billing situation where imaging services and E/M documentation overlap.
What You Will Learn
- How separately reported diagnostic imaging interacts with E/M medical decision-making
- Why the timing of an imaging study may or may not affect MDM counting
- How the article distinguishes diagnostic imaging from other kinds of tests in broad terms
- When practice-performed testing is relevant to MDM review and ordering concepts
Who Should Read This
- Medical coders
- Billing staff
- Physicians
- Advanced practice providers
- Compliance staff
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