Moderate
• 1 or more chronic illness with exacerbation, progression or side effect from treatment 
• 2 or more stable chronic illnesses 
• 1 undiagnosed new problem w/ uncertain prog 1 acute illness w/ systemic symptoms 
• 1 acute complicated injury 

Moderate (must meet 1 of 3 categories) 
Category 1: Tests, documents or independent historian Any combo of 3 from: • Review of prior external notes, each unique source *; • Review of the results of each unique test *; • Ordering of each unique test * • Assessment requiring an independent historian  
Category 2: Independent interpretation of tests • Independent interpretation of test performed by another provider  
Category 3: Discussion of management or test interpretation • Discussion of management or test interpretation with external provider 

Moderate risk of morbidity from additional diagnostic testing or treatment Examples only:
 • Prescription Drug Management 
• Decision regarding minor surgery w/ identified patient or procedure risk factors 
• Decision regarding elective major surgery without identified patient or procedure risk factors 
• Diagnosis or treatment significant limited by social determinants of health