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. 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 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 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

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.

Question 6

PFSH includes all of these components except:

Accepted Answer

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

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

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

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.

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

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.

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

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.

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.

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.

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

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

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.

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.

Exam 22: CPT Evaluation and Management Coding