tci E/M Coding Alert - 2023 Issue Q1

Procedure Deep Dive: Use These Tips for Calculating MDM for Tetanus Shots

Don’t forget to look out for side effects. How a tetanus shot fits into the Table of Risk (1995 Documentation Guidelines) or Risk column (2023 Documentation Guidelines) has been a topic of debate among emergency department (ED) coders. This means that coders must pay special attention when calculating the level of medical decision making (MDM). “While we are currently in a transition period as ED coders are preparing for the implementation of the 2023 E/M guidelines, current and future MDM requirements include ‘risk of complications and/or morbidity or mortality’ as part of assigning a value to...

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