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Reply with quote  #1 
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?

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Reply with quote  #2 
yes, you can count chronic problems as established. For example HTN,DM,COPD...
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Reply with quote  #3 
Is this appropriate even if the practitioner is evaluating the patient for the first time and all diagnoses would be "new to the examiner"?
ShoshanaRuth

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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?
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