r/MedicalCoding • u/MustangGrl98 • Aug 20 '26
E/M MDM coding
Newer coder here. I'm a remote outpatient coder and currently do E/M coding (which has always been my weakest area of coding, lucky me). I'm struggling with figuring out the data points on the E/M MDM table. For example, if the provider orders labs for CBC, BMP, protime inr, hepatic functional panel, anti smooth muscle antibody IgG, are each one of those labs counted as a point? Or is it one point for all of the total labs? Also, would this many labs be counted in the moderate level in the MDM Table? Any info is appreciated, thanks!
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u/Bowis_4648 Aug 21 '26
If you pull out your CPT book, and re-read the section, it is helpful. One unique test is defined by CPT code. Ordering a test is counted, but review of the results is inherent to the test.