# Psychiatric Medical Decision Making Calculator for Outpatient Follow-up Billing

```*Problem Status*

# Self-limited/minor problems[comment memo=" max of 2"] [select name="minor" value="0=0|1=1|2=2"]
# Established problem, stable/improved [select name="stable" value="0=0|1=1|2=2|3=3|4=4"]
# Established problem, worsening [select name="worse" value="0=0|1=2|2=4"]
# New Problem, no additional workup planned[comment memo=" max of 2"] [select name="newno" value="0=0|1=3"]
# New Problem, additional workup planned [select name="newyes" value="0=0|1=4"]

*Amount/Complexity of Data Reviewed*

# Reviewed/Ordered labs/Clinical tests/Discussion of test with performing provider [select name="tests" value="0=0|1=1|2=2|3=3|4=4"]
Decision to obtain old records and/or obtain history from someone other than patient [select name="decision" value="0=0|1=1"]
Independent visualization of image, tracing, or specimen itself(not simple review of report) [select name="visual" value="0=0|1=2|2=4|3=6|4=8"]
# Review and summary of records [select name="summary" value="0=0|1=2|2=4|3=6|4=8"]
# People collateral obtained from [select name="collateral" value="0=0|1=2|2=4|3=6|4=8"]
# Discussion of case with another provider [select name="discussion" value="0=0|1=2|2=4|3=6|4=8"]

*Risk of Complications and or Morbidity and Mortality*
[select name="risk" value="One self-limited or minor problem=1|two or more self-limited or minor problems and/or one stable chronic illness=2|Prescription meds; chronic illness with mild exacerbation or Side effects of treatment; 2 or more stable chronic illnesses=3|Psych illness c/ potential harm to self/others, med requiring monitoring for toxicity; one or more chronic illness c/ severe exacerbation, progression, or side effects of tx=4"]

Interpretation: 2/3 in same category for billing, if all three are different then pick the median.

1: [calc value="score2=(minor)+(stable)+(worse)+(newno)+(newyes);score2>3?'Problem status is High (99215)':score2>2?'Problem status is Moderate (99214)':score2>1?'Problem status is Low (99213)':'Problem status is Minimal (99212)'"]
2: [calc value="score3=(tests)+(decision)+(visual)+(summary)+(collateral)+(discussion);score3>3?'Data Review is High (99215)':score3>2?'Data Review is Moderate (99214)':score3>1?'Data Review is Low (99213)':'Data Review is Minimal (99212)'"]
3: [calc value="score4=(risk);score4>3?'Risk is High (99215)':score4>2?'Risk is Moderate (99214)':score4>1?'Risk is Low (99213)':'Risk is Minimal (99212)'"]```
*Problem Status*

# Self-limited/minor problems max of 2
# Established problem, stable/improved
# Established problem, worsening
# New Problem, no additional workup planned max of 2
# New Problem, additional workup planned

*Amount/Complexity of Data Reviewed*

# Reviewed/Ordered labs/Clinical tests/Discussion of test with performing provider
Decision to obtain old records and/or obtain history from someone other than patient
Independent visualization of image, tracing, or specimen itself(not simple review of report)
# Review and summary of records
# People collateral obtained from
# Discussion of case with another provider

*Risk of Complications and or Morbidity and Mortality*

Interpretation: 2/3 in same category for billing, if all three are different then pick the median.

1: score2=(minor)+(stable)+(worse)+(newno)+(newyes);score2>3?'Problem status is High (99215)':score2>2?'Problem status is Moderate (99214)':score2>1?'Problem status is Low (99213)':'Problem status is Minimal (99212)'
2: score3=(tests)+(decision)+(visual)+(summary)+(collateral)+(discussion);score3>3?'Data Review is High (99215)':score3>2?'Data Review is Moderate (99214)':score3>1?'Data Review is Low (99213)':'Data Review is Minimal (99212)'
3: score4=(risk);score4>3?'Risk is High (99215)':score4>2?'Risk is Moderate (99214)':score4>1?'Risk is Low (99213)':'Risk is Minimal (99212)'

Sandbox Metrics: Structured Data Index 1, 17 form elements, 104 boilerplate words, 12 drop downs, 2 comments, 3 calculations, 12 total clicks
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