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table of risk...2 questions

  1. #1
    Cool table of risk...2 questions
    Medical Coding Books
    If an established patient is coming in for follow up of a liver biopsy and my gastro doc is sending it to MUSC for a second opinion, where does this go on the table of risk?

    Second question. A patient comes in with follow up of diarrhea. The diarrhea is improved from the initial visit, but is somewhat severe. My gastro doc sends her to an allergy specialist for food allergy eval....where does this one go?

  2. #2
    Dover Seacoast New Hampshire
    We've always "unofficially" considered a referral to any specialist "moderate" risk; our reasoning being that the provider feels that the patient's condition warrants additional expertise that he/she cannot provide.
    Pam Brooks, MHA, COC, PCS, CPC, AAPC Fellow
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

  3. #3
    Overland Park, KS
    I always look at the presenting problem on the Table of Risk for a referral and apply the risk according to that.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

  4. #4
    Milwaukee WI
    Default Undiagnosed new problem
    I'm with Dawson Ballard ... If the presenting problem can be considered an "undiagnosed new problem" then it is moderate risk.

    F Tessa Bartels, CPC, CEMC

  5. #5
    I would give this moderate risk as an undiagnosed new problem as well.

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