In regards to E/M services, if a provider orders a lab test/imaging that is strictly for a screening purpose would you count these lab test/imaging towards the Data to Be Reviewed or Ordered in Box B.
Example would be: cholesterol screening, mammogram, DEXA, etc.
1997 Documentation Guidelines for Evaluation and Management Services
AMOUNT AND/OR COMPLEXITY OF DATA TO BE REVIEWED
The amount and complexity of data to be reviewed is based on the types of diagnostic testing ordered or reviewed.
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