BC Advantage - 2021 Issue 10

Acute Uncomplicated vs Complicated Illness or Injury

One of the most difficult determinations of Number and Complexity of Problems Addressed is complicated vs uncomplicated.When selecting Number and Complexity of Problems Addressed, the complication of treatment required should not be considered. The Risk of Complications of Patient Management is where the treatment options are considered in code selection.DefinitionsThe AMA defines an acute uncomplicated illness or injury as a "recent or new short-term problem with low risk of morbidity." A full recovery is expected without residual functionality impairment. This could also be a self-limited or minor condition showing no improvement with prescribed course of treatment...

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