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Minor procedure with identified risk factors

  1. #1
    Default Minor procedure with identified risk factors
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    I'm trying to find out how to tell when a minor procedure is classified under the table of risk as a minor procedure with identified risk factors.
    Does the provider have to list the risk factors in the documentation in order to get credit for a minor procedure with identified risk factors?
    How do I classify minor procedures as with or without ID risk factors?
    Any help would be appreciated
    Carrie, BS, CPC

  2. #2
    Location
    Milwaukee WI
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    Default Yes, MD must document risk factors
    Yes, the physician (or other provider) must identify the risk factors in order to "count them." Only the physician can tell you whether the patient has other conditions that present an additional risk to the outcome of the current procedure.

    F Tessa Bartels, CPC, CPC-E/M

  3. #3
    Default
    Quote Originally Posted by FTessaBartels View Post
    Yes, the physician (or other provider) must identify the risk factors in order to "count them." Only the physician can tell you whether the patient has other conditions that present an additional risk to the outcome of the current procedure.

    F Tessa Bartels, CPC, CPC-E/M
    Thanks
    Carrie, BS, CPC

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