What is the risk level for the MDM in this case?

What is the risk level for the MDM in this case?

• A. Minimal risk
• B. Low risk
• C. Moderate risk
• D. High risk

Answer: (A)

The main idea being tested is how the level of risk in Medical Decision Making is determined. MDM risk level depends on three things: how many problems are being addressed, the amount and complexity of data reviewed, and the risk of complications or morbidity from the management options chosen. When the situation involves a self-limited or minor problem and the management is limited to counseling or no significant treatment, with little or no data to review and no substantial risk of adverse outcomes, the risk level is minimal. In this case, the scenario implies a problem that is self-limited and requires only simple counseling, with no orders for tests, no new prescriptions, and negligible chance of complications. Hence, minimal risk is the best fit. If the case involved ordering tests, more complex management decisions, or a real risk of adverse outcomes, the level would be higher.

The main idea being tested is how the level of risk in Medical Decision Making is determined. MDM risk level depends on three things: how many problems are being addressed, the amount and complexity of data reviewed, and the risk of complications or morbidity from the management options chosen. When the situation involves a self-limited or minor problem and the management is limited to counseling or no significant treatment, with little or no data to review and no substantial risk of adverse outcomes, the risk level is minimal. In this case, the scenario implies a problem that is self-limited and requires only simple counseling, with no orders for tests, no new prescriptions, and negligible chance of complications. Hence, minimal risk is the best fit. If the case involved ordering tests, more complex management decisions, or a real risk of adverse outcomes, the level would be higher.