You Be the Coder: Count Tests This Way for Correct MDM Calculations

Why This Topic Matters

Correctly counting test-related data is important for accurate E/M leveling and compliant documentation. The article addresses a commonly confusing area where guidance has not been fully clarified and highlights the need to track how tests are handled across encounters.

Article Sections

1. Question

   A reader raises a question about how test ordering and review were counted in a prior coding discussion and asks for clarification.

2. Answer

   The response discusses current CPT and AMA guidance at a high level and introduces practical considerations for counting tests in the MDM data element. It then presents several broad tips related to ordering, review, and interpretation.