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

Which of the following statements best describes when time becomes a factor in determining the appropriate evaluation and management code?

A 92-year-old woman is confined to a wheelchair and cannot live by herself. She resides in a residential facility for the elderly. Once every month, the facility has a physician come to the facility to examine and monitor the health of the residents. The physician makes recommendations to the facility and/or family members on the course of care to be given to the woman each month to maintain her health. At today's encounter the physician performs a problem-focused examination and interval history. The decision making is straightforward. Choose the appropriate CPT code:

Which of the following is the type of anesthesia that makes a large portion of the body numb?

An examination of joints using a scope is an:

The patient presented today with swelling and pain in the right knee. The patient suffers from primary osteoarthritis. Following an expanded problem-focused history and expanded problem-focused examination, the physician aspirated the joint and gave the patient an injection of steroid medication. Select the appropriate codes for today's visit:

Dr. G was asked to provide a cardiology consultation in the emergency department for a patient who was experiencing atrial fibrillation. Dr. G determined that the patient needed to have a dual-chamber pacemaker inserted, and he scheduled the patient to have this procedure on the following morning. To correctly code the outpatient consultation visit in the ED, which of the following modifiers needs to be appended?

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:

A perineoplasty, nonobstetrical, was performed on a 37-year-old female patient. Which range of CPT codes is appropriate for this procedure?

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):

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:

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

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:

The patient presented today with swelling and pain in the right knee. The patient suffers from primary osteoarthritis. Following a medically appropriate history and examination, the physician aspirated the joint and gave the patient an injection of steroid medication. Select the appropriate codes for today's visit:

Dr. G was asked to provide a cardiology consultation in the emergency department for a patient who was experiencing atrial fibrillation. Dr. G determined that the patient needed to have a dual-chamber pacemaker inserted, and he scheduled the patient to have this procedure on the following morning. To correctly code the outpatient consultation visit in the ED, which of the following modifiers needs to be appended?

CPT codes that contain a set of temporary codes used for emerging technology, services, and procedures can be found in which of the following sections of the CPT manual?

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 medically appropriate history and 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 orthopaedic surgeon. Select the appropriate code(s) for the family physician:

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:

P1 and P6 are examples of which of the following?

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