Medical Coding Certification www.codingcertification.org Get more cpc exam tips, medical coding training and CEU credits. Determining the level of Medical Decision Making. Alright, so where I’m going is in your CPT manuals, there is a Medical Decision Making table in your E&M guidelines. And it happens to be on page 10. And of course, this is just 1/3 of the E&M you know, when you’re coding by the history exam and Medical Decision Making. And as you can see, I like to mark things up and make it more visual. I actually drew a line and made them look like columns because that’s what they are. To the far right is the score, if you will, or the level of Medical Decision Making. So you’ve got straight-forward, low, moderate, and high. The first column is what I call DMO for number of diagnoses or management options. And then choices you have are minimal, limited, multiple, extensive. And Medical Decision Making is one of the most nebulous areas of E&M to try and score. And you’ve probably seen E&M scoresheets that they and help quantify these things. But for purposes of the board exam, you’re not bringing in an audit tool so you are going to have to use this language — minimal, limited, multiple, extensive. Like for me, okay, I’m like, "minimal versus limited". They sound pretty similar to me so what you’ll typically find is they count 1, 2, 3, 4. It’s for one diagnosis for management option, limited is for two, etcetera. For the second column, data, it’s amount and or <b>…</b>