MCT - Emergency Department Cases exam with correct solutions 2024

MCT - Emergency Department Cases

All diagnosis and procedure codes must be entered
Case 1 of 5
Patient Name: Bornman, Carole
Medical Record #: 1011302
Admission Date: 04/12/20YY
E.H.R. Resources
1. Face Sheet
2. History and Physical Examination correct answers Hide Correct Answer
Diagnosis Code(s): ICD-10-CM
1.
T78.40XA
2.
L50.0
3.
L29.9
4.
Z91.048
Procedure Code(s): CPT/HCPCS Level II
Code Modifier(s)
1.
99284
2.
96372
3.
96372
59
4.
J1200
5.
J0171

Patient presented to the ED complaining of a rash. Impression is acute allergic reaction
to unknown irritant with urticarial and pruritis. Assign T78.40XA for the allergic reaction.
In addition, assign L50.0 for urticaria and L29.9 for pruritus to indicate the type of
reaction. Patient has a known dust and mold allergy, however, this cannot be confirmed
as the reason for her current allergic reaction. Assign Z91.048 to indicate allergy status.
E/M code selection is based on the appropriate MDM level (i.e. straightforward, low,
moderate, high). MDM level is determined with 3 elements: 1) number and complexity of
problems addressed, 2) amount and/or complexity of data to be reviewed, and 3) risk of
complications/morbidity/mortality. This case is considered Moderate level MDM based

, on: acute illness with systemic symptoms with IM/SQ drugs. Thus, the appropriate E/M
code is 99284.
Per the ED Course, the patient was treated with Epinephrine 1:1000, 0.3 mL
subcutaneously and 50 mg Benadryl intramuscularly. Assign CPT code 96372 and
96372-59 for the injections. HCPCS code J1200 is assigned for Epinephrine and J0171
for Benadryl.

All diagnosis and procedure codes must be entered
Case 2 of 5
Patient Name: Weinstein, Michelle
Medical Record #: 0001267
Admission Date: 01/15/YYYY
E.H.R. Resources
1. Patient Registration Form
2. Hospital & Clinic Consent for Medical Treatment
3. History and Physical p1
4. History and Physical p2 correct answers Hide Correct Answer
Diagnosis Code(s): ICD-10-CM1. Procedure Code(s): CPT/HCPCS Level
IICodeModifier(s)1.
Per outpatient coding guidelines, uncertain diagnoses are not coded; therefore, ONLY
diagnosis code J98.01 is assigned for "acute bronchospasm."E/M code selection is
based on the appropriate MDM level (i.e. straightforward, low, moderate, high). MDM
level is determined with 3 elements: 1) number and complexity of problems addressed,
2) amount and/or complexity of data to be reviewed, and 3) risk of
complications/morbidity/mortality. This case is considered Moderate, therefore, the
appropriate E/M code is 99284. The HCPCS level II codes for drugs Albuterol and
Atrovent cannot be assigned because detail about dosages is not documented. A
physician query would be generated to determine the drug dosages for this case.

All diagnosis and procedure codes must be entered
Case 3 of 5
Patient Name: Alvarez, Ricardo
Medical Record #: 1011229
Admission Date: 07/03/YYYY
E.H.R. Resources
1. Patient Registration Form
2. Hospital & Clinic Consent for Medical Treatment
3. History and Physical p1
4. History and Physical p2 correct answers Diagnosis Code(s): ICD-10-CM
1.
S87.82XA
2.
W24.1XXA
3.
Y99.0
4.