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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Consideration of MDM

Hi, I have a concern regarding consideration of # of Dx’s. Any help/assistance on this would be grateful:

When a patient visits a physician for follow-up with below problems:

CC:- 1. Knee pain
2. left Shoulder pain
3. Right Hip pain
4. Low back pain
5. Chronic pain syndrome

Neither of the problem is documented as worsening. Now, in plan, physician is managing the problems in general like, prescription of Norco is documented. Here, I have couple of questions

1. Since it is an established problem(Stable), do we consider only 2 diagnosis or can we consider all the 5?
2. However, the physician is managing all the problems, can we consider this prescription for all the problems?
3. What if the physician is managing only knee pain, LBP and Rt hip pain by prescribing Norco?

And what would be the scenario if the patient is consulting the physician for the first time(New patient).

Thanks & Regards
MA

Medical Billing and Coding Forum

Quality Reporting Measures Under Consideration

Public comment is being accepted, for a limited time only. The Centers for Medicare & Medicaid Services (CMS) released on Nov. 22 the List of Measures Under Consideration (MUC) for 2016. The National Quality Forum (NQF) announced the same day that the Measure Applications Partnership (MAP) has begun its annual review of the list. “MAP’s […]
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