• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki level 3 or level 4

lcolborn

Guru
Messages
168
Best answers
0
Hi, guys! Just want some feedbacks in choosing the level of service for Covid- 19 positive patients with infusion and 2 data = level 3 or 4 ?
(Note: MDM Grid on level 4 is for Acute uncomplicated injury ,( not illness), and on Level 5 , acute /chronic illness/injury that pose threat to life or bodily function)


Thank you much !
 
Assuming this is outpatient.
I would likely count this level 4, depending on the documentation and patient status.
Problems: depending on status of patient, either level 4 for acute illness with systemic symptoms, or level 3 for acute uncomplicated illness. Could even possibly level 5 if patient is more critical (like hospital inpatient, considering intubation, etc)
Data: You state 2 data/test items, so level 3.
Risk: Level 4 if your physician is determining infusion is needed and ordering rx for such. Could possibly level 5 if patient is more critical and decision regarding hospitalization is made.
So, the level could be 3, 4 or 5 depending on the specific situation.
 
Assuming this is outpatient.
I would likely count this level 4, depending on the documentation and patient status.
Problems: depending on status of patient, either level 4 for acute illness with systemic symptoms, or level 3 for acute uncomplicated illness. Could even possibly level 5 if patient is more critical (like hospital inpatient, considering intubation, etc)
Data: You state 2 data/test items, so level 3.
Risk: Level 4 if your physician is determining infusion is needed and ordering rx for such. Could possibly level 5 if patient is more critical and decision regarding hospitalization is made.
So, the level could be 3, 4 or 5 depending on the specific situation.
Thank you for responding. Makes me feel better that we share the same sentiment on this. I have no doubt in what I know so far, but a different voice surely
helps a lot in making sure you are on the right track. Thank you !
 
Top