Question Set #10: MDM Review & ICD9

  1. diagnoses:  hyperlipidemia, stable

data:  lipid panel

risk:  Rx written for statin refill.

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  hypertension and hyperlipidemia, stable.

data:  lipid panel, cbc, metabolic panel, UA, CXR

risk:  Rx’s written

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  hypertension, new problem

data:  none

risk:  Rx initiated

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  hyperlipidemia, new problem

data:  lipid panel, chem8, CBC, chest x-ray, EKG, TSH, records summarized.

risk:  Rx initiated.

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  diabetes, stable.

data:  A1c, UA, lipids, metabolic panel, LFTs,

risk:  medicines refilled.

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  diabetes, unstable

data:  A1c

risk:  mediations increased.

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  hypertension and diabetes, stable.

data:  none documented

risk:  medications continued.

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  hypertension, newly diagnosed

data:  none

risk:  new diagnosis; try diet/exercise only for now

a.   straightforward MDM (99202 or 99212)

b.   low-risk MDM (99203 or 99213)

c.   moderate-risk MDM (99204 or 99214)

d.   high-risk MDM (99205 or 99215)

  1. diagnoses:  angina, new diagnosis

data:  x-ray, EKG, bloodwork ordered

risk:  as above

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  asthma, acute exacerbation (new diagnosis)

data:  none

risk:  updraft given in-office, asthma meds increased

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  URI and acute asthma exacerbation (new diagnoses)

data:  none

risk:  updraft given in-office, asthma meds increased

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  cellulitis, new diagnosis

data:  none

risk:  Rx written

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  back pain, acute

data:  none

risk:  Rx written

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  pharyngitis, viral

data:  rapid strep

risk:  OTC meds recommended

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  URI, new diagnosis

data:  none

risk:  OTC meds recommended

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
*answers below…
  1. diagnoses:  hyperlipidemia, stable

data:  lipid panel

risk:  Rx written for statin refill.

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  hypertension and hyperlipidemia, stable.

data:  lipid panel, cbc, metabolic panel, UA, CXR

risk:  Rx’s written

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  hypertension, new problem

data:  none

risk:  Rx initiated

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  hyperlipidemia, new problem

data:  lipid panel, chem8, CBC, chest x-ray, EKG, TSH, records summarized.

risk:  Rx initiated.

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  diabetes, stable.

data:  A1c, UA, lipids, metabolic panel, LFTs,

risk:  medicines refilled.

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  diabetes, unstable

data:  A1c

risk:  mediations increased.

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  hypertension and diabetes, stable.

data:  none documented

risk:  medications continued.

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  hypertension, newly diagnosed

data:  none

risk:  new diagnosis; try diet/exercise only for now

a.   straightforward MDM (99202 or 99212)

b.   low-risk MDM (99203 or 99213)

c.   moderate-risk MDM (99204 or 99214)

d.   high-risk MDM (99205 or 99215)

  1. diagnoses:  angina, new diagnosis

data:  x-ray, EKG, bloodwork ordered

risk:  as above

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  asthma, acute exacerbation (new diagnosis)

data:  none

risk:  updraft given in-office, asthma meds increased

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  URI and acute asthma exacerbation (new diagnoses)

data:  none

risk:  updraft given in-office, asthma meds increased

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  cellulitis, new diagnosis

data:  none

risk:  Rx written

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  back pain, acute

data:  none

risk:  Rx written

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  pharyngitis, viral

data:  rapid strep

risk:  OTC meds recommended

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)
  1. diagnoses:  URI, new diagnosis

data:  none

risk:  OTC meds recommended

  1. straightforward MDM (99202 or 99212)
  2. low-risk MDM (99203 or 99213)
  3. moderate-risk MDM (99204 or 99214)
  4. high-risk MDM (99205 or 99215)

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