Question 1

The term neonate refers to a baby from the moment of birth until age:

Accepted Answer

A)  30 days old. 
B)  29 days old. 
C)  28 days old. 
D)  31 days old. 
A)  30 days old. 
B)  29 days old. 
C)  28 days old. 
D)  31 days old. C

Question 2

David, 23 months old, is critically ill, in the NICU at City Hospital. Dr. Katzman provides critical care services, including endotracheal intubation and an umbilical arterial catheter. He saw David yesterday when he admitted him. How are Dr. Katzman's services coded?

Accepted Answer

A)  99469 
B)  99471 
C)  99472 
D)  99476 
A)  99469 
B)  99471 
C)  99472 
D)  99476 C

Question 3

Anticipatory guidance is normally found in which section of the CPT codes?

Accepted Answer

A)  Counseling Risk Factor Reduction and Behavior Change Intervention 
B)  Newborn Care Services 
C)  Preventive Medicine Services 
D)  Care Management Services 
A)  Counseling Risk Factor Reduction and Behavior Change Intervention 
B)  Newborn Care Services 
C)  Preventive Medicine Services 
D)  Care Management Services C

Question 4

Dr. Johnson performed surgery on Ms. Nelson's right foot at the ASC. One week later, she came into the office about a problem with her left leg. Which modifier would be appended to the evaluation and management code for the office visit?

Accepted Answer

A)  59 
B)  26 
C)  24 
D)  66 
A)  59 
B)  26 
C)  24 
D)  66

Question 5

A patient comes in with one or two possible diagnoses, is on no medication, and has no other co-morbidities. The level of decision making would be:

Accepted Answer

A)  straightforward. 
B)  low complexity. 
C)  moderate complexity. 
D)  high complexity. 
A)  straightforward. 
B)  low complexity. 
C)  moderate complexity. 
D)  high complexity.

Question 6

PFSH includes all of these components except:

Accepted Answer

A)  past history. 
B)  family history. 
C)  systems history. 
D)  social history. 
A)  past history. 
B)  family history. 
C)  systems history. 
D)  social history.

Question 7

A consultation is defined as when a physician ________ at the request of another physician.

Accepted Answer

A)  assumes full care of the patient 
B)  admits a patient 
C)  provides advice or an opinion on a patient's treatment 
D)  performs surgery 
A)  assumes full care of the patient 
B)  admits a patient 
C)  provides advice or an opinion on a patient's treatment 
D)  performs surgery

Question 8

A patient history may consist of:

Accepted Answer

A)  a chief complaint. 
B)  a history of present illness. 
C)  a review of systems. 
D)  All of these 
A)  a chief complaint. 
B)  a history of present illness. 
C)  a review of systems. 
D)  All of these

Question 9

Dr. Thomas Matthews did a thorough E/M of Suzette Connors at her home. Dr. Matthews has not seen Suzette in five years. What range of codes should be used for the visit?

Accepted Answer

A)  99341-99345 
B)  99201-99205 
C)  99347-99350 
D)  99211-99215 
A)  99341-99345 
B)  99201-99205 
C)  99347-99350 
D)  99211-99215

Question 10

Subsequent intensive care services to low birth weight (LBW), VLBW, and recovering neonates are coded by:

Accepted Answer

A)  the age of the infant. 
B)  the length of time spent. 
C)  whether the patient is new or established. 
D)  the present body weight. 
A)  the age of the infant. 
B)  the length of time spent. 
C)  whether the patient is new or established. 
D)  the present body weight.

Question 11

Mr. Rodgers has seen his physician for management of his use of warfarin during the first 90 days of therapy. The physician took 9 INR measurements during this time. What is the appropriate code for these services?

Accepted Answer

A)  99363 
B)  99366 
C)  99364 
D)  99444 
A)  99363 
B)  99366 
C)  99364 
D)  99444

Question 12

Care plan oversight services are reported with codes:

Accepted Answer

A)  99487-99489. 
B)  98966-98968, 99441-99443. 
C)  99339-99340, 99374-99380. 
D)  99605-99607. 
A)  99487-99489. 
B)  98966-98968, 99441-99443. 
C)  99339-99340, 99374-99380. 
D)  99605-99607.

Question 13

What does the level of medical decision-making describe?

Accepted Answer

A)  How much time and expertise the provider used to determine the diagnosis and treatment plan 
B)  How much knowledge and expertise the provider used to determine the diagnosis and treatment plan 
C)  How much knowledge and time the provider used to determine the diagnosis and treatment plan 
D)  How much time the provider used to determine the diagnosis and treatment plan 
A)  How much time and expertise the provider used to determine the diagnosis and treatment plan 
B)  How much knowledge and expertise the provider used to determine the diagnosis and treatment plan 
C)  How much knowledge and time the provider used to determine the diagnosis and treatment plan 
D)  How much time the provider used to determine the diagnosis and treatment plan

Question 14

Emergency department E/M codes are determined by:

Accepted Answer

A)  time. 
B)  new or established patient. 
C)  two key components. 
D)  three key components. 
A)  time. 
B)  new or established patient. 
C)  two key components. 
D)  three key components.

Question 15

Dr. Getter spent one hour with Nancy, 40 minutes of which he spent counseling her on keeping her diabetes under control. The primary factor for this E/M code is the:

Accepted Answer

A)  level of history. 
B)  level of exam. 
C)  level of medical decision making. 
D)  time. 
A)  level of history. 
B)  level of exam. 
C)  level of medical decision making. 
D)  time.

Question 16

Time can be used to determine an E/M code when:

Accepted Answer

A)  more than 25 percent of the total time is spent counseling the patient. 
B)  more than 30 percent of the total time is spent counseling the patient. 
C)  more than 20 percent of the total time is spent counseling the patient. 
D)  more than 50 percent of the total time is spent counseling the patient. 
A)  more than 25 percent of the total time is spent counseling the patient. 
B)  more than 30 percent of the total time is spent counseling the patient. 
C)  more than 20 percent of the total time is spent counseling the patient. 
D)  more than 50 percent of the total time is spent counseling the patient.

Question 17

Giving a patient a prescription for a smoking cessation patch falls into which of the following categories?

Accepted Answer

A)  Counseling 
B)  Anticipatory guidance 
C)  Consultation 
D)  Risk-factor reduction intervention 
A)  Counseling 
B)  Anticipatory guidance 
C)  Consultation 
D)  Risk-factor reduction intervention

Question 18

Dr. John, a cardiologist, consults for 22 minutes with cardiology specialist Dr. Lowell over the phone regarding a critically ill hospitalized patient. What is the appropriate code to use for Dr. Lowell?

Accepted Answer

A)  99443 
B)  99442 
C)  99448 
D)  99449 
A)  99443 
B)  99442 
C)  99448 
D)  99449

Question 19

An E/M code is determined first by the encounter's:

Accepted Answer

A)  level of history. 
B)  location. 
C)  physician's specialty. 
D)  time of day. 
A)  level of history. 
B)  location. 
C)  physician's specialty. 
D)  time of day.

Question 20

Preventive medicine exam codes are based on whether the patient is a new or established patient and:

Accepted Answer

A)  the patient's age. 
B)  the severity of the illness. 
C)  the amount of time spent with the patient. 
D)  the level of history taken. 
A)  the patient's age. 
B)  the severity of the illness. 
C)  the amount of time spent with the patient. 
D)  the level of history taken.

Exam 22: CPT Evaluation and Management Coding

The term neonate refers to a baby from the moment of birth until age:

David, 23 months old, is critically ill, in the NICU at City Hospital. Dr. Katzman provides critical care services, including endotracheal intubation and an umbilical arterial catheter. He saw David yesterday when he admitted him. How are Dr. Katzman's services coded?

Anticipatory guidance is normally found in which section of the CPT codes?

Dr. Johnson performed surgery on Ms. Nelson's right foot at the ASC. One week later, she came into the office about a problem with her left leg. Which modifier would be appended to the evaluation and management code for the office visit?

A patient comes in with one or two possible diagnoses, is on no medication, and has no other co-morbidities. The level of decision making would be:

PFSH includes all of these components except:

A consultation is defined as when a physician ________ at the request of another physician.

A patient history may consist of:

Dr. Thomas Matthews did a thorough E/M of Suzette Connors at her home. Dr. Matthews has not seen Suzette in five years. What range of codes should be used for the visit?

Subsequent intensive care services to low birth weight (LBW), VLBW, and recovering neonates are coded by:

Mr. Rodgers has seen his physician for management of his use of warfarin during the first 90 days of therapy. The physician took 9 INR measurements during this time. What is the appropriate code for these services?

Care plan oversight services are reported with codes:

What does the level of medical decision-making describe?

Emergency department E/M codes are determined by:

Dr. Getter spent one hour with Nancy, 40 minutes of which he spent counseling her on keeping her diabetes under control. The primary factor for this E/M code is the:

Time can be used to determine an E/M code when:

Giving a patient a prescription for a smoking cessation patch falls into which of the following categories?

Dr. John, a cardiologist, consults for 22 minutes with cardiology specialist Dr. Lowell over the phone regarding a critically ill hospitalized patient. What is the appropriate code to use for Dr. Lowell?

An E/M code is determined first by the encounter's:

Preventive medicine exam codes are based on whether the patient is a new or established patient and:

Introduction to the Languages of Coding

Abstracting Clinical Documentation

The Coding Process

Introduction to Icd-10-Cm

Coding Infectious Diseases

Coding Neoplasms

Coding Conditions of the Blood and Immunological Systems

Coding Endocrine Conditions

Coding Mental, Behavioral, and Neurological Disorders

Coding Dysfunction of the Optical and Auditory Systems

Coding Cardiovascular Conditions

Coding Respiratory Conditions

Coding Digestive System Conditions

Coding Integumentary Conditions

Coding Muscular and Skeletal Conditions

Coding Injury, Poisoning, and External Causes

Coding Genitourinary, Gynecology, Obstetrics, Congenital, and Pediatrics Conditions

Factors Influencing Health Status Z Codes

Inpatient Hospital Diagnosis Coding

Introduction to CPT

CPT and Hcpcs Level Ii Modifiers

CPT Anesthesia Section

CPT Surgery Section

CPT Radiology Section

CPT Pathology Lab Section

CPT Medicine Section

Hcpcs Level II

Introduction to Icd-10-Pcs

ICD-10-Pcs Medical and Surgical Section

Obstetrics Section

Placement Through Chiropractic Sections

Imaging, Nuclear Medicine, and Radiation Therapy Sections

Physical Rehabilitation and Diagnostic Audiology Through New Technology Section

Reimbursement

Introduction to Health Care Law and Ethics

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