Amount and/or Complexity of Data to be Reviewed + Analyzed *Each unique test, order, or document contributes to the combination of 2 or combination of 3 in Category 1 below.
CPT is a registered trademark of the American Medical Association. Copyright 2019 American Medical Association. All rights reserved.
The Medicare Learning Network®, MLN Connects®, and MLN Manners® are registered trademarks of the U.S. Department of Health & Human Services (HHS). Updated 10/2023 MM.
Review of prior external note(s) from each unique source*; Italicized blue text are hospital medicine relevant risk examples developed by the Society of Hospital Medicine’s E/M Technical Advisory …
Medical Decision Making | ACS
View full MDM levels/elements grid. The original four levels of MDM (straightforward, low, moderate, and high) have not changed for 2021.
Jan 1, 2023 · Discussion of management or test interpretation with external physician/other qualified health care professional/appropriate source (not separately reported).
Include the MDM in the CPT codes and services you submit on your claims. When selecting a level of MDM for these services, review the AMA’s E/M Services Guidelines for a detailed breakdown of the …
Final Determination Table for Medical Decision Making To arrive at the final level of exam, 2 of 3 components (problems, data and risk) must meet or exceed the same level of complexity …
Medical decision making for this case is a straightforward review of a single self-limiting problem with review of minimal data and a minimal level of risk; therefore, code level 99202 or 99212 is indicated, …
Each unique test, order, or document contributes to a combination of 2 or of 3 in Category 1 below. For independent interpretation and discussion of management or test interpretation, see Level 4 or 5.