• 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 self-limited or minor or more?

wynonna

True Blue
Messages
540
Location
Hinsdale, MA
Best answers
0
Hello and looking for your help:
If a provider sees a patient with what is considered more than a self-limited or minor problem, does that raise the overall level to a level 3 for low risk in Risk column? ( In the case where there is no independent historian, no Tests, No OTC, nor surgery nor PT/OT, nor IV?)

I'm looking for a general, practical way to differentiate a level 2 from a level 3.

thank you
 
The problem and the risk are 2 different elements. You could certainly have a chronic stable problem with minimal risk.
For leveling visits, you must level each individual visit based on documentation. There is no simple answer of something like HTN = level 2, or level 3, or level 4. Two patients with the same diagnosis could have very different treatment plans based on severity, co-morbidities, etc.
 
Top