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I have a question regarding medical decision making on an e/m level. When looking at a new admission there are several diagnosis. Can I count a new problem no workup along with a stable chronic problem? Or is the new problem the only thing I can count?
Reply with quote #2
yes, you can count chronic problems as established. For example HTN,DM,COPD...
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Is this appropriate even if the practitioner is evaluating the patient for the first time and all diagnoses would be "new to the examiner"?
Registered: 1494077838 Posts: 10
Reply with quote #4
No one seems to want to respond to this question. Would someone address this. I find I often can't get to a high complexity visit because I can't get enough "points" since one new with no work-up is limited to moderate. But, I know the presenting problem is severe enough to reach a High level of complexity. What is done in this case?
Registered: 1344440140 Posts: 2
Reply with quote #5
This is a question of mine also. If a patient is new and has several diagnoses; are the problem points limited to 3 (new problem with no work up) or 4 (new problem with workup) . Ie., a new patient is seen for a problem that does not require work up, but also has another diagnosis that is documented by the provider, so is considered in his medical decision making. Would this be 3 or 4 problem points ?