DecisionHealth, DecisionHealth - 2026 Issue 1 (January)

You can use MDM or time when critical care becomes a hospital E/M

Question: The provider performs a service that they believe meets the requirements for critical care services. They document the service and the total time. However, the documentation does not support the severity or complexity required for a critical care service. Can the practice use the time to report a level-based hospital E/M code, or does it have to use medical decision-making (MDM)?

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