Medical decision making · CASE 3 OF 5
Two elements point to the same level
Combine three already-classified MDM elements without assuming that all three must match.
Educational beta. Independent clinician review has not yet been completed. No CME credit is offered.
Sources checkedTHE FICTIONAL CASE
An established-patient office visit is being selected by MDM. For this exercise, the elements have already been correctly classified: problems are moderate, data are low, and management risk is moderate. Do not reclassify the individual elements or use time.
Read the answer and explanation without the quiz
Moderate MDM, 99214
The overall MDM is moderate because problems and risk both reach that level. The third element may be lower. For an established office patient, moderate MDM corresponds to 99214. This exercise teaches combining elements, not deciding their individual classifications.
Check the source
- AAFP: E/M coding questions ↗
Total time and MDM questions
- AAFP: E/M time and MDM levels ↗
Office and outpatient table
The source check supports the rule used in this fictional exercise. It is not independent professional certification. Actual claims require the complete documentation and current payer requirements.