CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

The first element of MDM: number and complexity of problems addressed

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E/M elements for MDM

  • There are three elements in medical decision-making and this article describes the first of three
  • When selecting a level of service based on medical decision-making two of the three elements are required
  • CPT® has developed definitions for many of the components in the MDM chart. 
  • The examples listed in the definitions are from the 2022 book; these were removed in the 2023 CPT book

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Relevant Search Terms: E/M changes 2021, CPT and CMS amend rules

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CPT®️️ is a registered trademark of the American Medical Association. Copyright American Medical Association. All rights reserved.

Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions.