Complex medical condition definition
Complex medical condition means a physical condition of an individual that:
Complex medical condition means a diagnosis, treatment, or procedure that has a high degree of outcome variation and requires specialized skills possessed by a physician or a patient care team to provide care for the patient in order to prevent a serious adverse outcome. “Complex medical condition” also means a condition that is emergent, persistent, substantially disabling, or life-threatening; requires the use of anesthesia, other than local anesthesia; or that requires interventions across a variety of domains of care to prevent a serious adverse outcome. Examples of complex medical conditions include, but are not limited to, the following: