Effective January 1, 2023, this information is no longer up-to-date. The material on this page covers only the 1995 and 1997 E/M guidelines and is no longer accurate. For the most recent E/M coding guidance, visit our home page here.
Management options selected and level of risk
Minimal Risk
Rest
Gargles
Elastic bandages
Superficial dressings
Low Risk
Over-the-counter drugs
Minor surgery with no identified risk factors
Physical therapy
Occupational therapy
IV fluids without additives
Moderate Risk
Minor surgery with identified risk factors
Elective major surgery with no risk factors
Prescriptions drug management
Therapeutic nuclear medicine
IV fluids with additives
Closed treatment of fracture or dislocations without manipulation
High Risk
Elective major surgery with identified risk factors
Emergency major surgery
Parenteral controlled substances
Drug therapy requiring intensive monitoring for toxicity
Decision not to resuscitate or to de-escalate care because of poor prognosis