Answers
Which of the following scenarios qualifies for a consultation code? A patient followed by
her primary care physician for diabetes is referred to an endocrinologist in the same group
practice to review the patient's current regimen and offer suggestions for ongoing treatment. Her
diabetes has been difficult to keep under control.
Determine the level of history for the following documentation. 44 year-old female reports that
she stepped on a broken piece of glass last evening. She reports pain in the bottom of her left foot
has persisted since this incident. Patient reports that she noted mild bleeding from this area. She
reports her tetanus is up to date. She denies paralysis or paresthesia. Detailed
Which system is given credit for the exam component when a provider documents "no
appreciable edema in the ankles?" Cardiovascular
What is the level of MDM for the documentation provided below? Diabetic neuropathy,
improved but still uncontrolled. Still having insomnia is contributing to her sugars being high in
the mornings. Lyrica should help her with the sleeping; we will monitor how her BS responds to
this new medicine. Return to the office in 4-5 weeks. Low
What is the E/M code for the case below?
, CPMA 2018 (All of chapter 4) Questions And
Answers
56 year-old established male patient presents with the chest cold, denies any fever and chills.
Productive cough; yellow, green phlegm. Postnasal drainage, ears feel pressure, headache, at
times. Has not taken any OTC as this is just starting, has had approx. 3-4 days, and seems to be
getting worse. 99214
A patient receives general anesthesia for a total knee replacement. The anesthesia provider starts
anesthesia at 8:00 AM. The surgery begins at 8:15 AM and ends 9:45 AM. The anesthesia
provider takes the patient to recovery and turns care over to the recovery room nurse at 9:55 AM.
115 minutes
A CRNA performs anesthesia for tubal ligation on a healthy 35 year-old. The CRNA is working
independently. What is the correct code and modifier? 00851-QZ-P1
Which of the following must be performed and documented to code for medical direction by
anesthesiologist for a case involving a CRNA for Medicare patient? The anesthesiologist
must perform and document the pre-anesthesia exam
When can code 62324 be reported with an anesthesia code? Continuous epidural catheter
placed for post - operative pain management that is not used as the mode of anesthesia