hanihosni
Contributor
Hello,
It's documented in an E/M visit note for a terminally ill patient in an inpatient facility, that the family members "confirmed" that the patient is a DNR. Does that always correlate with a high risk of morbidity from additional diagnostic testing and treatment in the MDM table ? I'm asking because, in my opinion, the decision to make the patient a DNR may have been made at a previous visit/time and not at that same visit so it does not necessarily mean that the risk level for the current visit is high based on the DNR status.
It's documented in an E/M visit note for a terminally ill patient in an inpatient facility, that the family members "confirmed" that the patient is a DNR. Does that always correlate with a high risk of morbidity from additional diagnostic testing and treatment in the MDM table ? I'm asking because, in my opinion, the decision to make the patient a DNR may have been made at a previous visit/time and not at that same visit so it does not necessarily mean that the risk level for the current visit is high based on the DNR status.