COC Evaluation and Management Coding 2

Question 1

Which modifier is appended to an E/M code to indicate the service is unrelated to a postoperative period?

Accepted Answer

-24

Answer

Modifier -24 is used when an unrelated E/M service is provided by the same physician during a postoperative period.

Question 2

What distinguishes a consultation from a new patient visit in E/M coding?

Accepted Answer

Consultations require a request from another provider and a written report back

Answer

A consultation requires a written or verbal request from another provider and mandates that the consultant render a written opinion or report back to the requesting provider.

Question 3

Under the 2021 E/M guidelines, which level of MDM corresponds to a straightforward problem with minimal data and minimal risk?

Accepted Answer

Straightforward

Answer

Straightforward MDM applies when there is a minimal number of problems, minimal or no data reviewed, and minimal risk of complications.

Question 4

An established patient is seen in the office, and the physician makes an independent interpretation of an EKG during the visit. How is this reflected in MDM?

Accepted Answer

Counted as data reviewed under the 'amount and/or complexity of data' element

Answer

Independent interpretation of tests (such as an EKG) by the treating physician is counted as data reviewed under the MDM data element.

Question 5

Which scenario best supports reporting modifier -57 with an E/M code?

Accepted Answer

E/M the same day as decision for major surgery

Answer

Modifier -57 indicates that the E/M service resulted in the initial decision to perform a major surgical procedure (90-day global period).

COC - Certified Outpatient Coder Practice Test

COC - Certified Outpatient Coder Practice Test

COC Evaluation and Management Coding 2