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Injections is what on risk table

mtimson

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Hello,

I'm looking for some help. I work for a neurosurgeon and often times we refer our pts to pain mang for injections. But when looking at the Table of Risk, i don't see what this would fall under.

Any suggestions?

Thank you!
Marty
 

LLovett

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Prescription drug management for the injections or you could go with the presenting problem. Either One/more chronic illnesses with mild exacerbation for moderate or severe for high depending on the circumstances.

Laura, CPC, CPMA, CEMC
 

OCD_coder

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Nashville AAPC Chapter
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If your physician is referring your patient for an injection and not performing the injection, see the following:
Minor procedure, without identified risk factors = Low
Minor procedure, with identified risk factors = Moderate

If your physician is referring the patient for an injection and is not making any Rx manangement decisions, you are not managing the medication, the performing physician is.

Note: The risks to the patient (i.e. diabetes) needs to be identified by the provider. A list of Dx in the Impression/Plan are not enough to tell the reader what the risks are. A patient with diabetes will can sometimes have a spike in their sugar levels from a cortisone injection.
 
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mtimson

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Thank you both for this information. Its very helpful and i appreciate it tremondously!

Sincerely,
Marty
 
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