mdmTree.title

1 self-limited or minor problem

1+ chronic illness with exacerbation, progression, or side effects of treatment; or 2+ stable chronic illnesses; 1 undiagnosed new problem with uncertain prognosis; or 1 acute illness with systemic symptoms; or 1 acute complicated injury

1+ chronic illness with severe exacerbation, progression, or treatment side effects; or 1 acute or chronic illness or injury that poses a threat to life or bodily function

Little to no data reviewed or ordered

Review of external records with summary; independent interpretation of tests performed by another provider; or discussion with external physician or other qualified professional

Must meet at least 2 of the 3 Moderate data categories listed above

OTC drugs; minor surgery with no identified risk factors; superficial dressings

Prescription drug management with change or uncertainty; elective major surgery without identified risk factors; decision about hospitalization; diagnosis or treatment limited by social determinants of health

Intensive monitoring for drug toxicity; elective major surgery with identified risk factors; emergency major surgery; decision regarding hospitalization for a life-threatening condition; parenteral controlled substances