tci E/M Coding Alert - 2019 Issue 6

Reader Question: Look to Management Options, Resolve This Risk-Level Riddle

Question: I’m trying to determine the level of risk in the following encounter: a patient received an acute sprain of the back and another of the neck in a car accident. Our provider ordered ice and massage therapy and wrote scripts for naproxen and methocarbamol. Would this be low level, based on the low level of the presenting problems and the management options for the ice and therapy, or would the prescriptions take the level up to moderate? Montana Subscriber Answer: Calculating the level of risk in this scenario is somewhat subjective, but according to the Centers for...

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