Did you identify the appropriate codes to report the social determinants of health (SDOH) and their effect on the physician’s service described as follows? The underlined text indicates a reportable SDOH and is followed by the appropriate International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) code. See the full descriptors for each code following the scenario.

The ICD-10-CM codes for the diagnoses managed and the SDOH that significantly affecte management are reported, including any SDOH documented by clinical staff and/or the patient or caregiver.

In this example, the level of service was affected by the increased risk associated with significant limitations to management due to SDOH. The physician addressed a worsening problem (moderate number and complexity of problems addressed) with history provided by the patient’s grandmother (limited amount and complexity of data to be reviewed and analyzed) and SODH that significantly affected management (moderate risk). The combination...

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