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Wiki 2021 Procedure Risk ?

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aschaeve

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Wondering how everyone is counting risk when a procedure is done in the office. If a physician is doing a joint injection of the knee due to osteoarthritis that is exacerbated. The 20610 cpt code for the joint injection does not have a global and is considered a minor procedure. If the physician documents risk as infection, hot flashes, redness, swelling--would you count that as moderate risk? Or does he have to document exceptional risks -which are out of the ordinary for the patient to count it as moderate?

Thanks,

Alicia Schaeve, CPC
 
I would just like to clarify. Are you saying that if the physician just lists typical risks/normal risks--you would not count that as a procedure with identified risk factors? And how would you know which are the typical risks and ones specific to the patient?

Thanks,

Alicia
 
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