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Category Archives: Medical Coding Exam Prep

Determing the complexity of E/M codes

I think the above example is more just listing the medication and doesn’t really show management of it and would not give moderate MDM for that alone.

https://medicare.fcso.com/faqs/answers/0324049.asp
What constitutes prescription drug management?

Q. During an evaluation and management visit, what constitutes “prescription drug management?”
A. “Prescription drug management” is based on documented evidence that the provider has evaluated medications as part of a service, in relation to the patient. This may be a prescription being written or discontinued, or a decision to maintain a current medication/dosage.
Note: Simply listing current medications is not considered “prescription drug management.”

https://www.novitas-solutions.com/webcenter/portal/MedicareJH/pagebyid?contentId=00005056
When can prescription drug management be credited in the Medical Making Risk of Complications chart?
Credit is given for prescription drug management when documentation indicates medical management of the prescription drug by the physician who is rendering the service. Medical management includes a new drug being prescribed, a change to an existing prescription or simply refilling a current medication. The drug and dosage should be documented as well as the drug management.
If medications are just listed in patient’s medical record, credit is given for past history.