MDM Risk Acute complicated Injury vs Acute UNcomplicated Injury

pamasbury

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Can someone either tell me or lead me to documentation for examples of acute complicated versus uncomplicated injuries. If a patient is seen for an injury and surgery is scheduled would that be considered complicated?
 
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Surgery

If you are taking the patient to surgery you don't have to worry about whether the injury is complicated or or not ... with a decision for MAJOR surgery you have - at minimum - moderate risk.

If the surgery is considered MAJOR surgery -and- there are IDENTIFIED risk factors(i.e. the physician identifies them in writing in the documentation) then you have HIGH risk.

If the surgery is considered MAJOR surgery -and- it is being performed emergently (e.g. appendectomy), then you have HIGH risk.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
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