CDEO Practice Questions - Certified Documentation Expert Outpatient Exam

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Under the 2021 AMA E/M guidelines for office/outpatient services (99202-99215), what are the three elements used to determine the level of medical decision making (MDM)?

History, exam, and medical decision making Number/complexity of problems addressed, amount/complexity of data, and risk of complications Chief complaint, HPI, and review of systems Time, counseling, and coordination of care

Correct Answer:

Number/complexity of problems addressed, amount/complexity of data, and risk of complications

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