Question 1

Code range 99341-99350 represents:

Accepted Answer

A)  Critical Care Services 
B)  Home Services 
C)  Nursing Facility Discharge Services 
D)  Prolonged Services 
A)  Critical Care Services 
B)  Home Services 
C)  Nursing Facility Discharge Services 
D)  Prolonged Services B

Question 2

One who has not been formally admitted to inpatient status is:

Accepted Answer

A)  outpatient 
B)  inpatient 
C)  inmate status 
D)  emergency services 
A)  outpatient 
B)  inpatient 
C)  inmate status 
D)  emergency services A

Question 3

An established patient presents to the outpatient provider's office with a chief complaint of sore throat. Which piece of information represents the first step in determining a code for an E/M service?

Accepted Answer

A)  established patient 
B)  sore throat 
C)  provider's office 
D)  outpatient 
A)  established patient 
B)  sore throat 
C)  provider's office 
D)  outpatient B

Question 4

A visit that is requested in writing and that involves the rendering of an opinion and the compilation of a written report is:

Accepted Answer

A)  specialty office visit 
B)  consultation 
C)  referral 
D)  transfer or care 
A)  specialty office visit 
B)  consultation 
C)  referral 
D)  transfer or care

Question 5

Services provided to a patient in order to maintain health and prevent disease are called:

Accepted Answer

A)  Home services 
B)  Palliative services 
C)  Preventive services 
D)  Well services 
A)  Home services 
B)  Palliative services 
C)  Preventive services 
D)  Well services

Question 6

All of the following are categories included in the E/M section of the CPT manual except:

Accepted Answer

A)  office services 
B)  palliative services 
C)  hospital services 
D)  critical care services 
A)  office services 
B)  palliative services 
C)  hospital services 
D)  critical care services

Question 7

Code range 99291-99292 is used to describe:

Accepted Answer

A)  Office or Other Outpatient Consultations 
B)  Nursing Facility Services 
C)  Emergency Department services 
D)  Critical Care services 
A)  Office or Other Outpatient Consultations 
B)  Nursing Facility Services 
C)  Emergency Department services 
D)  Critical Care services

Question 8

Subsequent Observation Care (99224-99226) is used for:

Accepted Answer

A)  services provided during observation status after the initial-observation care has occurred 
B)  observation or inpatient care if the patient is admitted and discharged on the same day 
C)  final examination, instructions for post-discharge care, and preparation of discharge forms 
D)  the first encounter a physician has with an observation status patient 
A)  services provided during observation status after the initial-observation care has occurred 
B)  observation or inpatient care if the patient is admitted and discharged on the same day 
C)  final examination, instructions for post-discharge care, and preparation of discharge forms 
D)  the first encounter a physician has with an observation status patient

Question 9

A patient presents to the provider's office with swelling of the face and hands after beginning an amoxicillin treatment three days ago. The patient has no current known drug allergies; the physician requests in writing that an allergist evaluate the patient, render an opinion, and supply a written report stating the opinion. This is an example of a(n):

Accepted Answer

A)  Expert request 
B)  Consultation 
C)  Referral 
D)  Request of opinion 
A)  Expert request 
B)  Consultation 
C)  Referral 
D)  Request of opinion

Question 10

The E/M section is used to tell the story of the services provided to the patient in a(n):

Accepted Answer

A)  outpatient setting 
B)  inpatient setting 
C)  Both outpatient setting and inpatient setting 
D)  laboratory encounter 
A)  outpatient setting 
B)  inpatient setting 
C)  Both outpatient setting and inpatient setting 
D)  laboratory encounter

Question 11

In the E/M section, a 0 in the fourth place identifies:

Accepted Answer

A)  a subsequent inpatient service 
B)  an initial inpatient service 
C)  an established patient service in the office 
D)  a new patient service in the office 
A)  a subsequent inpatient service 
B)  an initial inpatient service 
C)  an established patient service in the office 
D)  a new patient service in the office

Question 12

Select the correct steps to determining a code for an E/M service, listed in correct order:

Accepted Answer

A)  determine the patient's chief complaint, identify the status of the patient, identify the place of service, identify the type of service. 
B)  identify the place of service, identify the type of service, identify the status of the patient, determine the patient's chief complaint 
C)  identify the status of the patient, determine the patient's chief complaint, identify the place of service, identify the type of service. 
D)  determine the patient's chief complaint, identify the place of service, identify the type of service, identify the status of the patient 
A)  determine the patient's chief complaint, identify the status of the patient, identify the place of service, identify the type of service. 
B)  identify the place of service, identify the type of service, identify the status of the patient, determine the patient's chief complaint 
C)  identify the status of the patient, determine the patient's chief complaint, identify the place of service, identify the type of service. 
D)  determine the patient's chief complaint, identify the place of service, identify the type of service, identify the status of the patient

Question 13

Which of the following is not a true statement?

Accepted Answer

A)  No distinction is made between new and established patient in the outpatient and inpatient setting 
B)  No distinction is made between new and established patient for the emergency department 
C)  No distinction is made between new and established patient for care management codes 
D)  No distinction is made between new and established patient for critical care codes 
A)  No distinction is made between new and established patient in the outpatient and inpatient setting 
B)  No distinction is made between new and established patient for the emergency department 
C)  No distinction is made between new and established patient for care management codes 
D)  No distinction is made between new and established patient for critical care codes

Question 14

Time can be a key ______ for the codes within the E/M section requiring either two or three key components.

Accepted Answer

A)  issue 
B)  factor 
C)  component 
D)  consideration 
A)  issue 
B)  factor 
C)  component 
D)  consideration

Question 15

All of the following are true about critical illness/injury except:

Accepted Answer

A)  a critical illness impairs one or more vital organ systems 
B)  a patient must be in a critical care unit to be categorized as having a critical illness 
C)  a patient can be in a setting other than a critical care unit and be designated as critically ill 
D)  a critical injury presents a high probability of life-threatening deterioration 
A)  a critical illness impairs one or more vital organ systems 
B)  a patient must be in a critical care unit to be categorized as having a critical illness 
C)  a patient can be in a setting other than a critical care unit and be designated as critically ill 
D)  a critical injury presents a high probability of life-threatening deterioration

Question 16

The elements of the History component in E/M code selection are:

Accepted Answer

A)  body areas, review of systems, and amount and complexity of data 
B)  history of present illness, review of systems, and past, family, and social history 
C)  history of present illness, body areas, and past, family, and social history 
D)  amount and complexity of data, history of present illness, and number of diagnoses and management options 
A)  body areas, review of systems, and amount and complexity of data 
B)  history of present illness, review of systems, and past, family, and social history 
C)  history of present illness, body areas, and past, family, and social history 
D)  amount and complexity of data, history of present illness, and number of diagnoses and management options

Question 17

All of the following are true of Initial Hospital Care (99221-99223) codes except:

Accepted Answer

A)  These codes are used for the attending physician's initial encounter with the inpatient 
B)  Time must be documented in order to select a code 
C)  All three key components must be met 
D)  These may be referred to as the admission versus initial encounter 
A)  These codes are used for the attending physician's initial encounter with the inpatient 
B)  Time must be documented in order to select a code 
C)  All three key components must be met 
D)  These may be referred to as the admission versus initial encounter

Question 18

Services provided to a patient in order to maintain health and prevent disease are called:

Accepted Answer

A)  Home services 
B)  Palliative services 
C)  Well services 
D)  Preventive services 
A)  Home services 
B)  Palliative services 
C)  Well services 
D)  Preventive services

Question 19

In the E/M section, an 8 in the fourth place identifies:

Accepted Answer

A)  a critical care service 
B)  a consultation service in the hospital 
C)  a consultation service in the office 
D)  an emergency service 
A)  a critical care service 
B)  a consultation service in the hospital 
C)  a consultation service in the office 
D)  an emergency service

Question 20

All of the following are components of an E/M service except:

Accepted Answer

A)  dictation time 
B)  counseling 
C)  medical decision making 
D)  time 
A)  dictation time 
B)  counseling 
C)  medical decision making 
D)  time

Exam 5: Evaluation and Management

Code range 99341-99350 represents:

One who has not been formally admitted to inpatient status is:

An established patient presents to the outpatient provider's office with a chief complaint of sore throat. Which piece of information represents the first step in determining a code for an E/M service?

A visit that is requested in writing and that involves the rendering of an opinion and the compilation of a written report is:

Services provided to a patient in order to maintain health and prevent disease are called:

All of the following are categories included in the E/M section of the CPT manual except:

Code range 99291-99292 is used to describe:

Subsequent Observation Care (99224-99226) is used for:

The E/M section is used to tell the story of the services provided to the patient in a(n):

In the E/M section, a 0 in the fourth place identifies:

Select the correct steps to determining a code for an E/M service, listed in correct order:

Which of the following is not a true statement?

Time can be a key ______ for the codes within the E/M section requiring either two or three key components.

All of the following are true about critical illness/injury except:

The elements of the History component in E/M code selection are:

All of the following are true of Initial Hospital Care (99221-99223) codes except:

Services provided to a patient in order to maintain health and prevent disease are called:

In the E/M section, an 8 in the fourth place identifies:

All of the following are components of an E/M service except:

The Certified Professional Coder

Foundations of ICD-10-CM

ICD-Specific Guidelines

Foundations of CPT

Anesthesia

Surgery Section

Surgery Section: Integumentary System

Surgery Section: Musculoskeletal System

Surgery Section: Respiratory System

Surgery Section: Cardiovascular and Lymphatic Systems

Surgery Section: Digestive System

Surgery Section: Urinary System and Male Reproductive System

Surgery Section: Female Reproductive System and Maternity Care and Delivery

Surgery Section: Nervous System

Surgery Section: Eyes, Ears, and Endocrine System

Radiology

Pathology Laboratory

Medicine

HCPCS Level II: Category II and Category III Codes

Practice Management

Fundamental Coding Guidelines

Coding for Evaluation and Management E&M, Anesthesia, and Surgery Section

Coding for Surgical Procedures on Integumentary, Musculoskeletal, Respiratory, and Cardiovascular/Lymphatic Systems

Coding for Surgical Procedures on Digestive, Urinary, Male and Female Reproductive Systems, Maternity Care, Nervous System, and Eyes, Ears, and Endocrine System

Coding for Radiology, Pathology Laboratory, General Medicine, HCPCS Category II and III, and Practice Management

Coding and Surgical Procedures

Filters