Risk Assessment: Low
The Risk assessment is stratified as:
- Minimal
- Low
- Moderate
- High
In order for an assessment to be low risk, there has to be one element of any of the 3 categories presented.
A. Presenting Problem
- Two or more self-limited or minor problems
- One stable chronic illness
- Acute uncomplicated illness or injury
B. Diagnostic procedure
- Physiologic tests not under stress
- Non-cardiovascular imaging studies with contrast
- Superficial needle biopsies
- ABGs
- Skin biopsies
C. Management options selected
- Over-the-counter drugs
- Minor surgery with no identified risk factors
- Physical therapy
- Occupational therapy
- IV fluids without additives
Bibliography
Department of Health and Human Services. Centers for Medicare & Medicaid Services. Medicare Learning Network. "Evaluation and Management Services." Accessed April 27, 2020. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/eval-mgmt-serv-guide-ICN006764.pdf
Marco A. Ramos MD, CCDS