I have this same issue. A URI can be as straightforward as a cold...but can also turn into a bacterial infection and need a rx. I've decided to take this on a case by case basis. Like you mentioned, if the doctor felt they needed a rx, I give them a moderate MDM, and if not, consider it low MDM. I wish I felt more confident with these. I try to tell my docs to be more specific than "URI"...if not with another dx, than atleast with more details on the "status" of the disease.
Just my two cents...maybe someone else can give us something more concrete.
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