High Risk Medical Decision Making

High Complexity MDM - E/M University

https://www.emuniversity.com/HighComplexityMedicalDecision-Making.html

Risk of complications and/or morbidity. High. Severe exacerbation of chronic illness. Acute or chronic illnesses that may pose a threat to life or bodily function, e.g., multiple trauma, acute MI, pulmonary embolus, severe respiratory distress, …

2023 Evaluation and Management Changes: …

https://practice.asco.org/sites/default/files/drupalfiles/2022-09/2023-MDM-Simplified.pdf

Selecting a Level of Service based on Medical Decision Making The medical decision-making elements associated with evaluation and management services consists of three …

Medical Decision Making | ACS

https://www.facs.org/advocacy/practice-management/coding-and-billing/em-coding-billing/office-outpatient-e-m-visit-coding-changes/medical-decision-making/

CPT has developed an extensive definition for risk: "The probability and/or consequences of an event. The assessment of the level of risk is affected by the nature of the event …

Thinking on Paper: Documenting Decision Making | AAFP

https://www.aafp.org/pubs/fpm/issues/2010/0700/p10.html

The guidelines consider risk to the patient in determining the level of medical decision making – risk of significant complications, morbidity and mortality – and they recognize …

Medical Decision Making - American College of Cardiology

https://www.acc.org/tools-and-practice-support/practice-solutions/coding-and-reimbursement/documentation/evaluation-and-management/medical-decision-making

E/M Rules for Office Visits: What Level of Medical …

https://www.aao.org/eyenet/article/what-level-of-medical-decision-making

Four levels of medical decision-making. The overall complexity level of MDM can be straightforward or of low, moderate, or high complexity. To determine this overall …

Selecting an E/M Code Based on Medical Decision …

https://practice.asco.org/sites/default/files/drupalfiles/2020-07/Medical%20Decision%20Making%20FINAL%2007.22.20.pdf

Step 1: Problem- Select the applicable number and complexity of problems addressed at the encounter. Step 2: Data- Select the amount and/or complexity of data to be …

Drug therapy requiring intensive monitoring for toxicity

https://codingintel.com/drug-therapy-requiring-intensive-monitoring-for-toxicity/

When deciding whether to assign high risk, both the drug and the monitoring need to qualify. Doing bi-weekly lab or monthly lab tests, or following in the office …

CLINICAL EXAMPLES 2021 OFFICE AND OTHER …

https://www.aacap.org/App_Themes/AACAP/docs/clinical_practice_center/business_of_practice/cpt/Clinical_Examples_AACAP.pdf

MEDICAL DECISION MAKING Code Level of MDM (based on both Problems and Risk) Elements of Medical Decision Making Number and Complexity of Problems …

MDM (level of risk) and Blood Transfusions | Medical …

https://www.aapc.com/discuss/threads/mdm-level-of-risk-and-blood-transfusions.93837/

There are significant risks associated with blood transfusions. I'd list it as high risk. I have a grid (can't remember where I got it from) that gives a more detailed …