Wiki Risk Level Of Physical Restraints - MDM

sdifuh278652

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Hello,

Does the use of physical restraints in all hospital settings always equate to high risk in MDM? According to MDM Determination in the ED - AAPC Knowledge Center, in the Emergency Department, physical restraints are high risk. Is that specific to Emergency Departments only? According to the R3 Report: New and Revised Restraint and Seclusion Requirements for Behavioral Health Care and Human Services Organizations, “Physical holding restraints can be as dangerous as other types of restraint and should be held to the same requirements, as evidenced by a study that examined data collected over a 26-year period regarding restraint fatalities among children and adolescents in the United States. The study confirms that deaths do occur from physical holding restraints (that is, without any devices).”

Physical restraints appear to be a treatment of low or moderate risk, since the patient has a relatively low probability of morbidity or mortality from their use. Could the use of physical restraints ever be low or moderate risk in MDM?
 
Hi there, the risk is going to be specific to each patient and encounter as documented by the provider. I didn't read the article but I would be very wary of any guidance that says X is "always" a certain risk level unless it comes from the AMA or a payer.
 
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