ED Coding & Reimbursement Alert - 2021 Issue 2
Reader Questions: Test Your Knowledge of MDM Data Guidelines
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Article Overview
This article addresses a coding question about CPT medical decision making documentation for office and outpatient evaluation and management services. It explains the general categories of data considered in MDM and contrasts those concepts with time-based reporting guidance, making it relevant for coders, auditors, and billing staff who work with E/M services.
Why This Topic Matters
Understanding how MDM data is counted versus how total time is counted affects consistent E/M coding and documentation review. The article helps readers compare two common reporting approaches under CPT guidelines without focusing on a single procedure or specialty.
Article Sections
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Question
A reader asks about counting test results received on a different date of service when reporting based on MDM rather than time.
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Answer
The response summarizes CPT guidance on the general data component of MDM and discusses how test-related information is treated in relation to the encounter.
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Coding alert
This section contrasts the MDM discussion with CPT time-based office and outpatient E/M guidance and highlights the general categories that may be counted toward total time.
What You Will Learn
- How the article frames CPT guidance for medical decision making data review
- How the article contrasts MDM-based reporting with time-based E/M reporting
- Why encounter timing matters when considering test-related information under CPT guidance
- What types of general documentation and interpretation issues the article discusses
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Practice managers
- Compliance staff
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