2023 Gastroenterology Reimbursement and Coding Update (On-Demand) | November 2022-E&M Examples for MDM and Time

Pdf Summary

The document provides several clinical examples for both medical decision making and time-driven visits. It includes examples of established patients with conditions such as irritable bowel syndrome, new patients with undiagnosed abdominal pain and diarrhea, and hospital visits for gastrointestinal bleeding. Each example is accompanied by a breakdown of the number and complexity of problems addressed, the amount and complexity of data to be reviewed and analyzed, the risk of complications, and the overall medical decision making. The document also explains how time can be used for billing purposes, including activities that can be counted towards the total time spent on a patient's care, such as preparation, examination, orders, and documentation. It provides a chart that outlines the CPT code and the corresponding time spent for each level of service. Additionally, the document discusses the differences in risk for endoscopy procedures, providing examples for low, moderate, and high-risk cases. Overall, the document aims to provide guidance for healthcare professionals in understanding medical decision making, time billing, and endoscopic procedure risks.

Asset Subtitle

Kristin Vaughn, CPC, QMC, QMGC, CPMA, ICDCT-CM

Keywords

clinical examples

medical decision making

time-driven visits

established patients

irritable bowel syndrome

new patients

gastrointestinal bleeding

risk of complications

endoscopy procedures

healthcare professionals