The medical documentation of the E/M service visit supports the following levels of medical decision-making element: Number of diagnoses and/or management options: extensive (new problem with workup) Amount and/or complexity of data reviewed:

minimal (ordered X-ray, reviewed lab tests) Risk of complication, comorbidity and/or mortality: moderate (undiagnosed new problem with uncertain prognosis) Which of the following levels best reflects the overall medical decision-making complexity? a. Straightforward complexity
b. Low complexity
c. Moderate complexity
d. High complexity


c) Moderate complexity

Health Professions

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