CPC Evaluation and Management Coding 2

Question 1

A physician performs a comprehensive history, comprehensive examination, and medical decision making of high complexity for a new patient in the office. Which E/M code is most appropriate?

Accepted Answer

99205

Answer

99205 is used for new office patients requiring comprehensive history, comprehensive exam, and high complexity MDM.

Question 2

Under the 2021 E/M guidelines, which element is NO longer required to select the level of an office/outpatient E/M visit?

Accepted Answer

Physical examination

Answer

Under 2021 AMA guidelines, the physical examination component was removed as a factor for selecting office/outpatient E/M level.

Question 3

A patient is seen in the emergency department and the physician documents a detailed history, detailed examination, and moderate complexity MDM. Which ED E/M code applies?

Accepted Answer

99284

Answer

99284 corresponds to an ED visit with detailed history, detailed exam, and moderate complexity MDM.

Question 4

Which of the following correctly describes 'straightforward' medical decision making?

Accepted Answer

One self-limited or minor problem

Answer

Straightforward MDM involves a minimal number of diagnoses/problems, such as one self-limited or minor problem.

Question 5

A cardiologist provides inpatient subsequent hospital care, reviewing a problem focused interval history, expanded problem focused exam, and low complexity MDM. Which code is used?

Accepted Answer

99231

Answer

99231 is the subsequent hospital care code requiring at least two of three key components at problem focused/expanded problem focused/low complexity MDM.

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder Practice Test

CPC Evaluation and Management Coding 2