CHAPTER 23 CPT EVALUATION AND
MANAGEMENT E M CODING NOTES 2025
TO 2026 COMPLETE STUDY GUIDE,
CODING PRINCIPLES PRACTICE
QUESTIONS AND EXAM REVIEW
Dr. Kennedy has been treating Paul Fried for six months. Today the doctor
performed a medical disability exam; developed a treatment plan; and
completed the documentation, certificate of disability, and a report. This is
reported with code: -CORRECT ANSWER-99455
What code is reported for a physician who provided discharge services for a
patient who is being discharged from observation care after a 2-day stay? -
CORRECT ANSWER-99217
Dr. Cook spends 45 minutes preparing the papers to discharge Kyle from
the hospital. Dr. Cook's evaluation and management services are coded: -
CORRECT ANSWER-99239
Care plan oversight services are reported with codes: -CORRECT
ANSWER-99339-99340, 99374-99380
Complex chronic care coordination services totaling 75 minutes in one
month are reported by which code? -CORRECT ANSWER-99487
,E/M services provided by a physician to a critically ill patient are coded by:
-CORRECT ANSWER-the length of time spent
Relationship -CORRECT ANSWER-the level of familiarity between
provider and patient
Consultation -CORRECT ANSWER-an encounter for purposes of a
second physician's opinion or advice, requested by another physician,
regarding the management of a patient specific health concern
level of physical examination -CORRECT ANSWER-The extend of a
physician's clinical assessment and inspection of a patient
History of Present Illness (HPI) -CORRECT ANSWER-The collection of
details about the patient's chief complaint, the current issue that prompted
this encounter: duration, specific signs and symptoms, etc.
Medical Decision Making (MDM) -CORRECT ANSWER-The level of
knowledge and experience needed by the provider to determine the
diagnosis and/or what to do next.
Level of Patient History -CORRECT ANSWER-The amount of detail
involved in the documentation of patient history.
PFSH -CORRECT ANSWER-collection of details, related to the chief
complaint, regarding possible signs, symptoms, behaviors, genetic
connection, etc
,Established Patient -CORRECT ANSWER-a person who has received
professional services w/in the last 3 years from either this provider or
another provider of the same specialty belonging to the same group practice
management services
New patient -CORRECT ANSWER-a person who has not received care
from the physician or another physician of the same specialty in the same
group practice within 3 or more years.
Evaluation and Management (E/M) -CORRECT ANSWER-Specific
characteristics of a face-to-face meeting between a health care professional
and a patient
Chief Complaint -CORRECT ANSWER-the primary reasons why the
patient has come for this encounter, in the patient's own words
Problem-Pertinent System Review -CORRECT ANSWER-The physician's
collection of details of signs and symptoms, as per the patient, affecting
only those body systems connected to the chief complaint.
Global Surgical Package -CORRECT ANSWER-A group of services
already included in the code for the operation and not reported separately.
Risk Factor Reduction Intervention -CORRECT ANSWER-Action taken
by the attending physician to stop or reduce a behavior or lifestyle that is
predicted to have a negative affect on the individual's health.
Hospice -CORRECT ANSWER-a home providing care for the sick,
especially the terminally ill.
, Basic Personal Services -CORRECT ANSWER-Services that include
washing/bathing, dressing and undressing, assistance in taking
medications, and getting in and out of bed.
preventive -CORRECT ANSWER-A type of action or service that stops
something from happening or from getting worse.
nursing facility -CORRECT ANSWER-A facility that provides continuous
medical supervision via 24-hour-a-day nursing care & related services, in
addition to food, shelter, & personal care.
Interval -CORRECT ANSWER-the time measured between one point
and another, such as between physician visits
Critical care services -CORRECT ANSWER-Services for a patient who
has a life threatening condition expected to worsen.
Care Plan Oversight Services -CORRECT ANSWER-E/M of a patient,
reported in 30-day periods, including infrequent supervision along with
pre-encounter and post-encounter work, such as reading test results and
assessment of notes.
Anticipatory -CORRECT ANSWER-recommendations for behavior
modification and/or other preventive measurement
Transfer of Care -CORRECT ANSWER-When a physician gives up
responsibility for caring for a patient, in whole or with regard to one
MANAGEMENT E M CODING NOTES 2025
TO 2026 COMPLETE STUDY GUIDE,
CODING PRINCIPLES PRACTICE
QUESTIONS AND EXAM REVIEW
Dr. Kennedy has been treating Paul Fried for six months. Today the doctor
performed a medical disability exam; developed a treatment plan; and
completed the documentation, certificate of disability, and a report. This is
reported with code: -CORRECT ANSWER-99455
What code is reported for a physician who provided discharge services for a
patient who is being discharged from observation care after a 2-day stay? -
CORRECT ANSWER-99217
Dr. Cook spends 45 minutes preparing the papers to discharge Kyle from
the hospital. Dr. Cook's evaluation and management services are coded: -
CORRECT ANSWER-99239
Care plan oversight services are reported with codes: -CORRECT
ANSWER-99339-99340, 99374-99380
Complex chronic care coordination services totaling 75 minutes in one
month are reported by which code? -CORRECT ANSWER-99487
,E/M services provided by a physician to a critically ill patient are coded by:
-CORRECT ANSWER-the length of time spent
Relationship -CORRECT ANSWER-the level of familiarity between
provider and patient
Consultation -CORRECT ANSWER-an encounter for purposes of a
second physician's opinion or advice, requested by another physician,
regarding the management of a patient specific health concern
level of physical examination -CORRECT ANSWER-The extend of a
physician's clinical assessment and inspection of a patient
History of Present Illness (HPI) -CORRECT ANSWER-The collection of
details about the patient's chief complaint, the current issue that prompted
this encounter: duration, specific signs and symptoms, etc.
Medical Decision Making (MDM) -CORRECT ANSWER-The level of
knowledge and experience needed by the provider to determine the
diagnosis and/or what to do next.
Level of Patient History -CORRECT ANSWER-The amount of detail
involved in the documentation of patient history.
PFSH -CORRECT ANSWER-collection of details, related to the chief
complaint, regarding possible signs, symptoms, behaviors, genetic
connection, etc
,Established Patient -CORRECT ANSWER-a person who has received
professional services w/in the last 3 years from either this provider or
another provider of the same specialty belonging to the same group practice
management services
New patient -CORRECT ANSWER-a person who has not received care
from the physician or another physician of the same specialty in the same
group practice within 3 or more years.
Evaluation and Management (E/M) -CORRECT ANSWER-Specific
characteristics of a face-to-face meeting between a health care professional
and a patient
Chief Complaint -CORRECT ANSWER-the primary reasons why the
patient has come for this encounter, in the patient's own words
Problem-Pertinent System Review -CORRECT ANSWER-The physician's
collection of details of signs and symptoms, as per the patient, affecting
only those body systems connected to the chief complaint.
Global Surgical Package -CORRECT ANSWER-A group of services
already included in the code for the operation and not reported separately.
Risk Factor Reduction Intervention -CORRECT ANSWER-Action taken
by the attending physician to stop or reduce a behavior or lifestyle that is
predicted to have a negative affect on the individual's health.
Hospice -CORRECT ANSWER-a home providing care for the sick,
especially the terminally ill.
, Basic Personal Services -CORRECT ANSWER-Services that include
washing/bathing, dressing and undressing, assistance in taking
medications, and getting in and out of bed.
preventive -CORRECT ANSWER-A type of action or service that stops
something from happening or from getting worse.
nursing facility -CORRECT ANSWER-A facility that provides continuous
medical supervision via 24-hour-a-day nursing care & related services, in
addition to food, shelter, & personal care.
Interval -CORRECT ANSWER-the time measured between one point
and another, such as between physician visits
Critical care services -CORRECT ANSWER-Services for a patient who
has a life threatening condition expected to worsen.
Care Plan Oversight Services -CORRECT ANSWER-E/M of a patient,
reported in 30-day periods, including infrequent supervision along with
pre-encounter and post-encounter work, such as reading test results and
assessment of notes.
Anticipatory -CORRECT ANSWER-recommendations for behavior
modification and/or other preventive measurement
Transfer of Care -CORRECT ANSWER-When a physician gives up
responsibility for caring for a patient, in whole or with regard to one
