AAPC - Back to school
Results 1 to 4 of 4

Thread: Dx endoscopy with risk factor

  1. #1

    Default Dx endoscopy with risk factor

    AAPC: Back to School
    Does anyone have a policy or info regarding when they consider an endoscopy to be "with risk factor" on the risk table for medical decision making?

    Thank you!

  2. #2
    Join Date
    Apr 2007

    Default Dx endoscopy with risk factor

    I count if the patient is on a blood thinner and the physician is having him hold it for the procedure.

  3. #3
    Join Date
    Apr 2007


    This would be a physician's judgement, but might nclude patients with cardiac or pulmonary disease. There is inherent risk in all procedures, and the guidelines state that risk is based on the risk during and immediately following any procedures or treatment. The risk table defines high risk as a patient undergoing diagnostic endoscopy with IDENTIFIED risk factors. The risk is particular to each situation and should be defined by the physician.
    Jenny Berkshire, CPC, CEMC, CGIC

  4. #4


    So if the patient is being seen at the hospital, and the patient agrees to proceed with the procedure and physician documents during the encounter that "The patient was informed of pertinent risk factors including but not limited to bleeding, perforation, medication reaction," etc.. the patient could be classified as high risk in terms of MDM? Would these be considered inherent risks or can they be counted towards the overall level of the visit since the physician has identified that he discussed them w/the patient?
    Last edited by sparkle77; 09-23-2015 at 11:28 PM.

Similar Threads

  1. is this counseling risk factor or an office visit?
    By ollielooya in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 05-12-2014, 12:39 PM
  2. Patient with RH factor high risk?
    By OBcoder1984 in forum OB/GYN
    Replies: 2
    Last Post: 01-11-2013, 11:51 AM
  3. Risk Factor on medical record
    By arizona1 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 07-31-2012, 08:12 PM
  4. Counseling and Risk factor reduction codes
    By jan1 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-12-2012, 10:20 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.