A provider documents 3 diagnoses under Assessment.
Her exams are always level 4 with at least 6 body/organ systems for detailed level 4 exam. History sections vary.
Would visits with level 4 detailed exams and 3 diagnoses under Amount/complexity of data be all level 4? with key factor being at least 3 dx listed in assessment? Assuming table of risk is moderate/level 4 (Prescription drug Management) also assuming 1 or less points under Amount and complexity of data (low or minimal)
thanks