CPC Exam: Evaluation and Management (E/M) Practice
Questions
1. A 33 year-old white male was
The patient is being discharged from the
admit- ted to the hospital on
hospital. Hospital discharge codes are
12/17/XX from the ER, following
determined based on the time documented
a motor vehicle ac- cident, to
that the physician spent providing services to
have a splenectomy done.
discharge the patient. The provider
Patient is being discharged
documented 20 minutes, which is report- ed
from the hospital on 12/20/XX.
with 99238.
During his hos- pitalization he
was experiencing pain and
shortness of breath, but with an
antibiotic regimen of Levaquin, he
im- proved. Physician
performed final ex- amination
and reviewed chest X-ray that
revealed possible infiltrates and a
CT of the abdomen that ruled out
any abscess. He was given a
prescription of Zosyn. Patient told
to follow up care with PCP or
return back to the hospi- tal for
any pain or bleeding. Physician
spent 20 minutes. Select the
appropri- ate CPT® code for 12/20
visit:
A. 99283
B. 99221 Physician is providing subsequent hospital
C. 99231 care to
D. 99238
2. The physician was notified to go
to
the hospital floor for medical manage- an inpatient. This eliminates answer
choices A and
, CPC Exam: Evaluation and Management (E/M) Practice
Questions
ment of a 56-year-old patient C. The physician performed an expanded
admit- ted one day ago for problem focused interval history, problem
aspiration pneu- monia and focused exami- nation, and moderate MDM.
COPD. An expanded prob- lem Subsequent hospital codes require two out
focused history was document- of three key components
ed indicating no chest pain at to meet or exceed. The two key
pre- sent, but still SOB and components that meet are: expanded
some swelling problem focused history and
, CPC Exam: Evaluation and Management (E/M) Practice
Questions
in his lower extremities. Was tachyp- medical decision of moderate
complexity. The code
neic yesterday. Problem focused exam is a 99232.
with the lungs revealing course
crack- les in both bases, right
worse than left. MDM was
moderate with the continuation
of intravenous antibiotic
treatment and respiratory support,
re- viewed chest X-ray and labs.
Patient is improving and a
pulmonary consulta- tion has
been requested. What CPT® code
should be reported?
A. 99221
B. 99231
C. 99218
D. 99232
3. An established patient presents to the For this encounter, no additional work
in evaluating
office with a recurrence of bursitis in the patient has been performed to
support that
both shoulders to have a scheduled in- an E/M service is significant and
separately iden-
jection. Examination is only limited to tifiable from the procedure. Only the
procedure
the shoulder in which range of motion should be billed. To perform an
arthrocentesis, the
is good and full, but he has tenderness physician inserts a needle through the
skin and into
in the subdeltoid bursa. Both shoul- a joint or bursa. A fluid sample may
be removed
ders were injected in the deltoid bursa from the joint or a fluid may be
Questions
1. A 33 year-old white male was
The patient is being discharged from the
admit- ted to the hospital on
hospital. Hospital discharge codes are
12/17/XX from the ER, following
determined based on the time documented
a motor vehicle ac- cident, to
that the physician spent providing services to
have a splenectomy done.
discharge the patient. The provider
Patient is being discharged
documented 20 minutes, which is report- ed
from the hospital on 12/20/XX.
with 99238.
During his hos- pitalization he
was experiencing pain and
shortness of breath, but with an
antibiotic regimen of Levaquin, he
im- proved. Physician
performed final ex- amination
and reviewed chest X-ray that
revealed possible infiltrates and a
CT of the abdomen that ruled out
any abscess. He was given a
prescription of Zosyn. Patient told
to follow up care with PCP or
return back to the hospi- tal for
any pain or bleeding. Physician
spent 20 minutes. Select the
appropri- ate CPT® code for 12/20
visit:
A. 99283
B. 99221 Physician is providing subsequent hospital
C. 99231 care to
D. 99238
2. The physician was notified to go
to
the hospital floor for medical manage- an inpatient. This eliminates answer
choices A and
, CPC Exam: Evaluation and Management (E/M) Practice
Questions
ment of a 56-year-old patient C. The physician performed an expanded
admit- ted one day ago for problem focused interval history, problem
aspiration pneu- monia and focused exami- nation, and moderate MDM.
COPD. An expanded prob- lem Subsequent hospital codes require two out
focused history was document- of three key components
ed indicating no chest pain at to meet or exceed. The two key
pre- sent, but still SOB and components that meet are: expanded
some swelling problem focused history and
, CPC Exam: Evaluation and Management (E/M) Practice
Questions
in his lower extremities. Was tachyp- medical decision of moderate
complexity. The code
neic yesterday. Problem focused exam is a 99232.
with the lungs revealing course
crack- les in both bases, right
worse than left. MDM was
moderate with the continuation
of intravenous antibiotic
treatment and respiratory support,
re- viewed chest X-ray and labs.
Patient is improving and a
pulmonary consulta- tion has
been requested. What CPT® code
should be reported?
A. 99221
B. 99231
C. 99218
D. 99232
3. An established patient presents to the For this encounter, no additional work
in evaluating
office with a recurrence of bursitis in the patient has been performed to
support that
both shoulders to have a scheduled in- an E/M service is significant and
separately iden-
jection. Examination is only limited to tifiable from the procedure. Only the
procedure
the shoulder in which range of motion should be billed. To perform an
arthrocentesis, the
is good and full, but he has tenderness physician inserts a needle through the
skin and into
in the subdeltoid bursa. Both shoul- a joint or bursa. A fluid sample may
be removed
ders were injected in the deltoid bursa from the joint or a fluid may be
