A new problem without any additional workup is worth how many points?

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Prepare for the AAPC CEMC Exam. Utilize flashcards and multiple-choice questions with detailed explanations and hints. Equip yourself for success!

In the context of Evaluation and Management (E/M) coding, assigning a point value to a new problem without additional workup helps establish the complexity and resource commitments involved in patient care. A new problem is categorized as a condition that the patient has not had before, necessitating the physician's assessment and management.

Specifically, in the point allocation system used in the coding guidelines, a new problem without any additional workup is assigned a value of three points. This reflects the understanding that while the problem is new, the absence of further diagnostic work or investigation implies a certain level of simplicity in its management. Thus, a three-point allocation accurately conveys the complexity involved and aligns with the E/M guidelines for coding office or outpatient services.

The point system provides a structured method for coders to evaluate medical decision-making complexity, and understanding the nuances of these point values is essential for accurate coding and reimbursement.

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