MDM for New patients - 2 out of 3 vs 3 out of 3?

[Steveington]

I recently went to a coding class but and there was some confusion with new vs established patients.
Using the Elements of Medical Decision Making chart, the Level of MDM for established patients is based on 2 out of 3 elements of MDM. (ie, a 99213 can have low complexity, no data and low risk)

But for a New Patient, is it also based on 2 out of 3 elements (ie a 99203 can have low complexity, no data and low risk)

This is how I have always thought it was. But the instructor said for NEW patients, that to qualify for a particular level of medical decision making you need to have all 3 of the 3 elements of MDM must be met or exceeded.

Is that true? I haven't found anything else online to confirm the 3 out of 3, just the 2 out of 3.

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[AttackNME]

No one’s really an expert, they all just offer their opinions. It’s ultimately your responsibility for knowing the updated rules. With that said, it looks like it’s still 2 out of the 3 elements for selecting MDM level

https://www.ama-assn.org/system/files/2023-e-m-descriptors-guidelines.pdf

 

[Pronation]

I just keep it simple and bill everything as a level 4 and keep my money in a Swiss bank account.

 

[Boba Foot]

I just keep it simple and bill everything as a level 4 and keep my money in a Swiss bank account.

A simple strategery I call "what would Donald Trump do?"

 

[Pronation]

A simple strategery I call "what would Donald Trump do?"

Grab em by the peroneals

 

[heybrother]

I recently went to a coding class but and there was some confusion with new vs established patients.
Using the Elements of Medical Decision Making chart, the Level of MDM for established patients is based on 2 out of 3 elements of MDM. (ie, a 99213 can have low complexity, no data and low risk)

But for a New Patient, is it also based on 2 out of 3 elements (ie a 99203 can have low complexity, no data and low risk)

This is how I have always thought it was. But the instructor said for NEW patients, that to qualify for a particular level of medical decision making you need to have all 3 of the 3 elements of MDM must be met or exceeded.

Is that true? I haven't found anything else online to confirm the 3 out of 3, just the 2 out of 3.

The instructor is wrong.