E/M
What CPT code is assigned to an ED service that has a detailed history and exam with a moderate level of MDM?
a.99284
b.99291
c.99283
d.99220
The correct answer is: 99284
Appendix C of the CPT manual contains examples of _______________ codes.
a.Add-on
b.Renumbered
c.Resequenced
d.Evaluation and Management
The correct answer is: Evaluation and Management
The definition of low birth weight can be found in the notes for subheading ______________________________.
a.Inpatient Neonatal and Pediatric Critical Care
b.Pediatric Critical Care Patient Transport
c.Initial and Continuing Intensive Care Services
d.Complex Chronic Care Management Services
The correct answer is: Initial and Continuing Intensive Care Services
The physician performs an extended exam of the affected body areas and related organ systems. What is the level of the examination?
a.problem-focused
b.expanded problem-focused
c.detailed
d.comprehensive
The correct answer is: detailed
The level of E/M service is based on:
a.documentation
b.key components
c.contributing factors
d.all are correct
The correct answer is: all are correct
In which CPT appendix would all modifiers be found?
a.Appendix A
b.Appendix B
c.Appendix C
d.Appendix D
The correct answer is: Appendix A
Procedures that are experimental, newly approved, or seldom used are reported with what type of code?
a.unlisted/Category III
b.technical
c.modified
d.variable
The correct answer is: unlisted/Category III
Which punctuation mark between codes in the index of the CPT manual indicates a range of codes is available?
a.period
b.hyphen
c.comma
d.semicolon
The correct answer is: hyphen
The rules that govern coding in various health care settings are:
a.variable
b.static
c.unchanging
d.nationally established
The correct answer is: variable
Which section Guidelines contain the definition of the chief complaint.
a.Evaluation and Management
b.Surgery
c.Pathology and Laboratory
d.Medicine
The correct answer is: Evaluation and Management
Which of the following represents three of the six elements that a special report must contain?
a.condition, service, description
b.anatomic site, service, extent
c.nature, extent, need
d.service, extent, procedure
The correct answer is: nature, extent, need
The universal health insurance paper form for submission of outpatient services is the:
a.HCFA-1500
b.CMS-1400
c.CMS-1500
d.CMS-1450 (UB-04)
The correct answer is: CMS-1500
Who requires a special report with the use of unlisted codes?
a.AMA
b.third-party payers
c.CPT manual
d.National Center for Health Care
The correct answer is: third-party payers
According to the Radiology Guidelines, these are the methods that qualify as “with contrast.”
a.intravascularly, intra-articularly, intrathecally
b.oral, rectal, intramuscular
c.other route, intravascularly, intrathecally
d.intra-articularly, intravenously, interarticularly
The correct answer is: intravascularly, intra-articularly, intrathecally
According to the E/M Guidelines, time is not a descriptive component for the ____ department levels of E/M service.
a.emergency
b.outpatient
c.inpatient
d.none of these
The correct answer is: emergency
A code that has all of the words that describe the code that follows is what type of code?
a.developed
b.isolated
c.stand alone
d.complete
The correct answer is: stand alone
Medical decision making (MDM) is based on the ____ the physician must consider about the management of a patient’s condition.
a.number of diagnoses
b.risk of morbidity
c.amount of data
d.all are correct
The correct answer is: all are correct
Category I CPT codes have ____ digits.
a.5
b.6
c.4
d.7
The correct answer is: 5
Codes from the E/M subsection Nursing Facilities Service are used to report services provided in nursing facilities that used to be known as:
a.skilled nursing facility
b.intermediate care facility
c.long-term care facility
d.all are correct
The correct answer is: all are correct
CPT stands for:
a.Current Physician’s Terminology
b.Current Procedure Terminology
c.Current Procedural Terminology
d.Current Procedural Terms
The correct answer is: Current Procedural Terminology
If a coder is unable to locate a code that describes the exact service provided, it is acceptable to use a code that approximates the service provided.
a.True
b.False
The correct answer is: False
Mr. Smith presents to the Emergency Department at the local hospital for chest pain and is seen by the ED physician on duty. The physician obtains an extended HPI, an extended ROS, and a pertinent PFSH. What is the level of history?
a.problem-focused
b.expanded problem-focused
c.detailed
d.comprehensive
The correct answer is: detailed
Health care providers are ____ based on the codes submitted on a claim form for procedures and services rendered.
a.judged
b.rated
c.taxed
d.reimbursed
The correct answer is: reimbursed