HIT 217 ADVANCED CODING EXAM
QUESTIONS AND ANSWERS
A nursing facility patient develops an acute illness and is seen by her attending
physician. He performs a detailed interval history and a detailed physical examination
and performs medical decision-making of moderate complexity. What code should the
physician use to report these services? - Correct Answers -99309
99309 is the correct code because it is for subsequent services to a nursing facility
patient who requires a medically appropriate history and/or exam and a moderate level
of medical decision-making.
Which of the following is the correct E/M code for a new patient office visit in which a
comprehensive history and comprehensive physical examination were performed, and
medical decision-making was of straightforward complexity? - Correct Answers -99202
In a physician's office, the medical coder will always assign an E/M code for each
patient the physician examines in the medical office? - Correct Answers -False
The medical coder will use the physician's documentation to determine the service
provided by the physician to the patient which is not always an evaluation and
management service as procedures can also be performed in an office setting.
Which of the following criteria are primarily used for determining the E/M level of
services for providers? - Correct Answers -Documentation of history, physical
examination, and medical decision-making
E/M code 99202 is based on the documentation straightforward medical decision-
making is the correct code.
A physician sees a patient in his office in the morning for a routine office procedure,
then again in the early afternoon, at which time he sends the patient to the hospital as
an inpatient for complications from the procedure. What codes should be assigned for
this day of care? - Correct Answers -One E/M code for the inpatient admission with -25
and one CPT for the procedure performed
E/M coding guidance permits separate reporting of E/M services provided when the
patient is admitted to the hospital as an inpatient or observation status subsequent to an
QUESTIONS AND ANSWERS
A nursing facility patient develops an acute illness and is seen by her attending
physician. He performs a detailed interval history and a detailed physical examination
and performs medical decision-making of moderate complexity. What code should the
physician use to report these services? - Correct Answers -99309
99309 is the correct code because it is for subsequent services to a nursing facility
patient who requires a medically appropriate history and/or exam and a moderate level
of medical decision-making.
Which of the following is the correct E/M code for a new patient office visit in which a
comprehensive history and comprehensive physical examination were performed, and
medical decision-making was of straightforward complexity? - Correct Answers -99202
In a physician's office, the medical coder will always assign an E/M code for each
patient the physician examines in the medical office? - Correct Answers -False
The medical coder will use the physician's documentation to determine the service
provided by the physician to the patient which is not always an evaluation and
management service as procedures can also be performed in an office setting.
Which of the following criteria are primarily used for determining the E/M level of
services for providers? - Correct Answers -Documentation of history, physical
examination, and medical decision-making
E/M code 99202 is based on the documentation straightforward medical decision-
making is the correct code.
A physician sees a patient in his office in the morning for a routine office procedure,
then again in the early afternoon, at which time he sends the patient to the hospital as
an inpatient for complications from the procedure. What codes should be assigned for
this day of care? - Correct Answers -One E/M code for the inpatient admission with -25
and one CPT for the procedure performed
E/M coding guidance permits separate reporting of E/M services provided when the
patient is admitted to the hospital as an inpatient or observation status subsequent to an
