The Second Element of MDM: Amount and/or Complexity of Data

There are three elements in medical decision-making and this article describes the second, arguably, the most complex of the three elements
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. This article describes the definitions and rules related to data

This post includes:

Quick reference sheet Credit for tests in the data element
A brief video summary with downloadable slides
Definitions related to data in the MDM chart for E/M services
Selecting the level of data using the MDM chart for E/M services
Although the video is labeled “2021” these rules are expanded to all E/M services through the last revised date of this post

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Last revised November 14, 2024 - Betsy Nicoletti
Tags: E/M medical decision making

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