'Click to return to E/M University Home page, EM Coding Education
PRESENTING PROBLEMS
AND RISK
 

 
Presenting Problems and Level of Risk

Minimal Risk
  • One self-limited or minor problem (e.g., insect bite, cold)
Low Risk
  • Two or more self-limited or minor problems
  • One stable chronic illness
  • Acute uncomplicated illness or injury (allergic rhinitis, ankle sprain, cystitis)
Moderate Risk
  • One or more chronic illness with mild exacerbation or progression
  • Two or more stable chronic illnesses
  • Undiagnosed new problem with uncertain prognosis (e.g., lump in breast)
  • Acute illness with systemic symptoms (e.g., pyelonephritis, pneumonitis, colitis
  • Acute complicated injury (e.g., head injury with brief loss of consciousness)
High Risk
  • One or more chronic illness with severe exacerbation or progression
  • Acute or chronic illness or injuries which pose a threat to life or bodily function (e.g., multiple trauma, acute MI, pulmonary embolism, severe respiratory distress, progressive severe rheumatoid arthritis, psychiatric illness with potential threat to self or others, peritonitis, acute renal failure)
Home   |   Contact Us   |   Privacy Policy
Copyright © 2003 -  EM University. Web Design: Abacus Web Services
 
Click to return to E/M University Home page, EM Coding Education