There’s more to high risk than the examples in the E/M guidelines

Article Overview

This article explains a coding and documentation question about evaluation and management medical decision-making risk, with a focus on intravenous contrast used in diagnostic imaging and how it relates to the high-risk examples in the guidelines. It is intended for coders, clinicians, and auditors who need to understand the scope of the risk table, the role of clinical judgment, and the importance of documentation when supporting the selected level of risk. The discussion also references guidance from the CPT manual and the American College of Radiology.