COC Evaluation and Management Coding 3

Question 1

An outpatient visit where the physician's total time is 40 minutes for an established patient would be coded as:

Accepted Answer

99214

Answer

99213

Answer

99215

Answer

99212

Question 2

Which type of E/M service is reported when a physician provides care for a patient in an observation unit?

Accepted Answer

Hospital observation codes (99217–99220 or 99234–99236)

Answer

Office/outpatient codes (99202–99215)

Answer

Emergency department codes (99281–99285)

Answer

Inpatient hospital codes (99221–99223)

Question 3

What is required to report a prolonged services code (99417) with an office E/M code?

Accepted Answer

Total time exceeds maximum time of the highest-level E/M code by at least 15 minutes

Answer

Patient has multiple chronic conditions

Answer

A specialist must be involved

Answer

Service lasts more than 2 hours

Question 4

When a physician bills preventive medicine services and an E/M service on the same day, which modifier is required?

Accepted Answer

-25

Answer

-24

Answer

-57

Answer

-59

Question 5

In outpatient coding, what is the key distinction between a 99213 and a 99214 for an established patient using MDM?

Accepted Answer

99213 = low MDM; 99214 = moderate MDM

Answer

99213 = moderate MDM; 99214 = high MDM

Answer

99213 = new problem; 99214 = chronic problem

Answer

99213 = one problem; 99214 = multiple problems

Question 6

Which is the correct code for an initial observation care admission by the admitting physician with high-complexity MDM?

Accepted Answer

99220

Answer

99217

Answer

99223

Answer

99236