UCR 152: E/M Medical Decision Making - Problem; visits with Elevated PSAs, and when does prostate cancer reach a level 5 problem?

 July 7, 2023 

Mark, Ray, and Scott discuss the problem section of E/M medical decision making.  The following question was asked that sparked this discussion:

Undiagnosed new problem with uncertain prognosis: When does a problem go from being new to chronic? For example, patient has an elevated PSA at their new patient appointment (new problem), some tests are ordered, then they follow up in one month. Could we use "undiagnosed new problem" again since we are still trying to diagnose and figure out what's going on? Or is it no longer a new problem because we have seen the patient before?

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