decisionhealth Newsletters, Part B News - 2023 Issue 1 (January)
MDM update includes 3 new problems addressed, 1 new risk category
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Article Overview
This article explains recent changes to medical decision-making requirements used in evaluation and management coding. It summarizes additions to the problems addressed element, including setting-specific categories, and discusses a new high-level risk category tied to parenteral controlled substances. The content is aimed at coders, auditors, and clinicians who need to understand how the updated MDM framework is described in current guidance.
Why This Topic Matters
MDM remains a core component of many E/M code selections, so updates to its elements can affect documentation review and code assignment workflows. This article helps readers understand what changed and where the new categories apply in the broader E/M framework.
What You Will Learn
- How the updated MDM framework is described for problems addressed
- Which parts of the update are setting-specific
- How the risk element was revised in current E/M guidance
- How the article situates the changes within outpatient, hospital, and nursing facility settings
Who Should Read This
- Medical coders
- Coding auditors
- Physicians
- Advanced practice providers
- Compliance professionals
Codes Discussed
Code Ranges Discussed
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