For professional fee, I score out the E/M. As to whether these patients are "high risk," that would need to fit the definitions provided by the Table of Risk and be justifiable.
For the facility fee, I'd really take a look at what criteria you're using to establish the ER code. Are you using the ACEP standards or what? There isn't a lot of standardization from hospital to hospital in that area. Heck, I've even seen variances from coder to coder. Regardless, here's the website to those standards; at least it's something recognized! http://www.acep.org/practres.aspx?id=30428
Good luck to you.
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