Exam 23: Coding for Evaluation and Management E&M, Anesthesia, and Surgery Section

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Peter Dixon was found to have an esophageal stricture, so he consented to esophageal dilation under general anesthesia to reduce this stricture. Select the appropriate anesthesia code(s):

(Multiple Choice)
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A physician who is part of a medical group practice saw a patient today who had not been treated by the practice for 7 years. The patient presented with a persistent cough and some congestion. The physician performed a comprehensive history and detailed exam. The patient is diabetic, which is controlled with diet and medication. The physician ordered lab work and a CXR. The physician prescribed medication for the cough and congestion and gave the patient a new prescription for his diabetic medication. The patient was asked to return in 1 week. Choose the appropriate evaluation and management code for today's encounter:

(Multiple Choice)
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An examination of joints using a scope is an:

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A physician who is part of a medical group practice saw a patient today who had not been treated by the practice for 7 years. The patient presented with a persistent cough and some congestion. The physician performed a medically appropriate history and examination. The patient is diabetic, which is controlled with diet and medication. The physician ordered lab work and a CXR. The physician prescribed medication for the cough and congestion and gave the patient a new prescription for his diabetic medication. The patient was asked to return in 1 week. Provider used low level of decision making. Choose the appropriate evaluation and management code for today's encounter:

(Multiple Choice)
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Mary was admitted to the hospital with congestive heart failure by her primary care physician, and cardiology was consulted on the day of admission. On the second day, the cardiologist made hospital rounds and stopped by to see Mary. An expanded problem-focused interval history was obtained, and an expanded problem-focused examination was performed. Mary is showing some improvement with IV therapy. Select the appropriate code for Mary's encounter with the cardiologist today:

(Multiple Choice)
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Choose the appropriate CPT code for a care-plan oversight service performed by a physician for 45 minutes:

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Which modifier would be assigned to an anterior packing of both nares for a nose bleed?

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An examination of joints using a scope is an:

(Multiple Choice)
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What anesthesia codes would be assigned for harvesting organ(s) from a brain-dead person?

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Which of the following is not an element of a history component for evaluation and management coding?

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Which one of the following procedures is completed without incision and is considered noninvasive in nature?

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Jonathan is a 12-year-old whose mother took him to his pediatrician for his annual exam. While examining him, his pediatrician discovered that he had an inguinal hernia and performed a problem-focused history, a problem-focused exam, and straightforward medical decision making. The pediatrician is referring Jonathan to a surgeon for the hernia repair, and Jonathan is to return to his pediatrician in 1 year. Choose the appropriate code(s) for Jonathan's visit:

(Multiple Choice)
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A 19-year-old male was jumping off the roof of his home onto a trampoline. After several successful jumps, he was careless and misjudged the distance on his next jump. He missed the trampoline and landed on the ground, injuring his right foot. The next day the teen was taken to his physician's office. The physician ordered a three-view x-ray of the right foot. The physician performed a detailed history and a detailed examination, and the medical decision making was of moderate complexity. After determining that the teen has suffered a displaced fracture of the first metatarsal of the right foot, the physician refers the teen to an orthopedic surgeon. Select the appropriate code(s) for the family physician:

(Multiple Choice)
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Which one of the following procedures is completed without incision and is considered noninvasive in nature?

(Multiple Choice)
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A 19-year-old male was jumping off the roof of his home onto a trampoline. After several successful jumps, he was careless and misjudged the distance on his next jump. He missed the trampoline and landed on the ground, injuring his right foot. The next day the teen was taken to his physician's office. The physician ordered a three-view x-ray of the right foot. The physician performed a detailed history and a detailed examination, and the medical decision making was of moderate complexity. After determining that the teen has suffered a displaced fracture of the first metatarsal of the right foot, the physician refers the teen to an orthopedic surgeon. Select the appropriate code(s) for the family physician:

(Multiple Choice)
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Which modifier would be assigned to an anterior packing of both nares for a nose bleed?

(Multiple Choice)
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A donor was brought to the operating room and placed under general anesthesia for harvesting of bone marrow. Select the correct code(s) to report the anesthesia services:

(Multiple Choice)
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A patient was admitted into the observation unit of the hospital at 8 a.m. after presenting with pain in the lower back. After reviewing the test results of the lab work and discussing the ultrasound results with the radiologist, the physician diagnosed kidney stones. The physician performed a comprehensive history and comprehensive examination of the patient. The physician approved a plan of treatment and discharged the patient at 1:30 p.m. the same day. Choose the appropriate CPT code(s):

(Multiple Choice)
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A screening mammogram is performed unilaterally. Choose the appropriate code for this service:

(Multiple Choice)
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A screening mammogram is performed unilaterally. Choose the appropriate code for this service:

(Multiple Choice)
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