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Wiki E/M-Table of Risks

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When determining risk (based on the Table of Risk), would the performance of a bronchscopy without the risks being indentified and the patient not having any respiratory co-morbidities, be classified as moderate risk? "Diagnostic endoscopic with no identified risk."

Does the risk have to be listed in order to classified as high or can the risks be "implied?
 
MUST be specifical stated by provider

When looking at the table of risk chart for choosing level of MDM .. Identified risk factors must be specifically stated by the provider. They can not be implied.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
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