MDM points: established problem, worsening...

Hey all, when scoring for MDM, do you consider ALL established problems, worsening equal? For instance...

ongoing depression w/anxiety: pt comes in to start a new med. same issues, anxiety, depression, mood swings, etc. no suicidal ideation, anehdonia, etc. new meds Rx'd

versus...

asthma exacerbation of chronic asthma. breathing tx given, refill meds, etc. would this now be considered an acute episode, new condition, etc.?

versus...

hypertension follow-up, slightly raised BP, refills given


ALL THESE ALL 2 POINTERS WHEN IT COMES TO THE PROBLEM POINTS??

Thanks!

MDM points: established problem, worsening...