UPDATE 2026
The documentation for a patient visit needs to support the E/M level assigned by the coder
True or false - Answers True
How many levels of MDM are there for a coder to select from? - Answers 4
How many factors are there for a coder to decide to arrive at the correct E/M section for code
assignment? - Answers 3
When using time to report an E/M code, a coder can include face-to-face time as well as nonface-to-
face time spent with the patient on the date of service
True or false - Answers True
How many types of patient status are there for a coder to select when determining an E/M code? -
Answers 4
When a coder assigns an E/M code for a patient receiving services in the emergency room (ER), the
coder must first determine if the patient is a new or established patient
True or false - Answers False
The E/M Consultations section (99242-99255) includes all of the settings for a consultation except
which of the following?
Inpatient
Nursing home
Observation
Office - Answers Nursing home
If a physician you are coding for completes an evaluation and management of a healthy baby born in a
hospital on the day the baby was born, which E/M code would you assign? - Answers 99460
You are coding for a non-treating physician who just completed a work-related disability examination
on a new patient. What is the correct E/M code to be assigned? - Answers 99456
You are coding for critical care services provided by your physician. The total time of critical care
services provided was 1 hour and 55 minutes. What is the correct E/M code(s)? - Answers 99291,
99292, 99292
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? - Answers 99305
What is the correct E/M code for an established patient visit in which a comprehensive history and
expanded problem-focused physical examination were performed and medical decision-making was
of moderate complexity? - Answers 99214
What is the correct E/M code for a preventative new patient office visit for a 2-year-old well child
check with an appropriate history and examination? - Answers 99382
What is the correct code for an outpatient office consultation in which the physician performed a
detailed history, a comprehensive physical examination, and medical decision-making of moderate
complexity? - Answers 99244
What 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? - Answers 99202
Code _____ reports an E/M initial nursing facility service, per day, involving an assessment that
requires a medically appropriate history and/or examination, and medical decision-making of
moderate complexity - Answers 99305
When reporting code 99221 using time, the time that has to be met or exceeded is _____ minutes -
Answers 40
The complexity of establishing a diagnosis and/or selecting a management option is referred to as the
complexity of the _____ decision-making of the case. - Answers Medical
Code 99205 reflects a(n) _____ level of medical decision-making - Answers High
Code _____ reports observation care discharge day management total time 30 minutes - Answers
99238