Reminder: Guidance only applies to CPT® codes 99202-99215
Summary of MDM Chart and Changes
- Code 99201 has been deleted
- Code 99211 does not have specific MDM elements
- May not report prolonged services if reporting solely based on MDM
- 3 elements have not changed from previous MDM
- Number and Complexity of Problems Addressed (Problems)
- Amount and/or Complexity of Data to be Reviewed and Analyzed (Data)
- Risk
- Number and Complexity of Problems Addressed
- Definitions added for complexity of problems to more appropriately classify conditions being diagnosed
- Amount and/or Complexity of Data to be Reviewed and Analyzed
- Definitions added under Data to better help identify what qualifies for data sources
- Independent historian added (including parents)
- Quantification of tests ordered and/or reviewed
- Risk
- Definitions added
- Social determinants of health now included under Risk (when identified and documented)