Patient comes into ED altered and intoxicated. Is not able to give ROS because of mental status. 8 body systems documented. EKG and labs done. After time determined patient is just intoxicated. Impression is alcohol use and cocaine use. My question is, what level of risk would this fall on? I want to code a level 5 because of the altered mental status and the cocaine use, another coder wants to give level 3.
Any thoughts?
Any thoughts?