NEUROLOGY:
CODING AND DOCUMENTATION
|
Medical Decision Making Examples **
|
Level of MDM |
Risk |
Diagnosis / Management Options |
Amount / Complexity of Data |
Straightforward
|
Minimal |
Minimal |
Minimal |
LowComplexity |
Low |
Limited |
Limited |
Moderate
Complexity |
Moderate |
Multiple |
Moderate |
HighComplexity |
High |
Extensive |
Extensive |
|
The above would be High Complexity MDM.
|
Level of MDM |
Risk |
Diagnosis / Management Options |
Amount / Complexity of Data |
Straightforward
|
Minimal |
Minimal |
Minimal |
LowComplexity |
Low |
Limited |
Limited |
Moderate
Complexity |
Moderate |
Multiple |
Moderate |
HighComplexity |
High |
Extensive |
Extensive |
|
The above would be Moderate Complexity MDM.
|
Level of MDM |
Risk |
Diagnosis / Management Options |
Amount / Complexity of Data |
Straightforward
|
Minimal |
Minimal |
Minimal |
LowComplexity |
Low |
Limited |
Limited |
Moderate
Complexity |
Moderate |
Multiple |
Moderate |
HighComplexity |
High |
Extensive |
Extensive |
|
The above would be Moderate Complexity MDM.
|
Level of MDM |
Risk |
Diagnosis / Management Options |
Amount / Complexity of Data |
Straightforward
|
Minimal |
Minimal |
Minimal |
LowComplexity |
Low |
Limited |
Limited |
Moderate
Complexity |
Moderate |
Multiple |
Moderate |
HighComplexity |
High |
Extensive |
Extensive |
|
The above would be Low Complexity MDM.
|
Level of MDM |
Risk |
Diagnosis / Management Options |
Amount / Complexity of Data |
Straightforward
|
Minimal |
Minimal |
Minimal |
LowComplexity |
Low |
Limited |
Limited |
Moderate
Complexity |
Moderate |
Multiple |
Moderate |
HighComplexity |
High |
Extensive |
Extensive |
|
The above would be High Complexity MDM.
|
** The level is determined by taking the lower of the
two highest of the three categories. |