AAPC CPC E/M services Exam
Questions With 100% Verified Answers
The reason the visit is initiated is the primary diagnosis for any E/M
service. -
correct answer ✅ICD-10-CM Coding E/M services
used with a diagnosis code(s) located in Chapter 21: Factors
Influencing Health Status and Contact with Health Services (Z00-
Z99). -
correct answer ✅Preventive care E/M codes
Z00.00Encounter for general adult medical examination without
abnormal findings
Z00.01Encounter for general adult medical examination with
abnormal findings -
correct answer ✅Examination/medical (adult)(for)(of)/general
if he or she has not received any face-to-face professional services
from the physician or qualified health professional, or a physician or
qualified health professional of the exact same specialty and
subspecialty within the group practice, within the last three years -
correct answer ✅defined by the AMA A patient is new when
When the patient is seen at another site of service (for example,
ED), and observation status is initiated at the site of service, all E/M
services provided by the admitting physician are considered part of
the initial observation care and not reported separately. -
correct answer ✅observation status
,AAPC CPC E/M services Exam
Questions With 100% Verified Answers
report when the patient is seen on a day other than the date of
admission or discharge. -
correct answer ✅Subsequent Observation Care codes
The Initial Observation Care code and the Observation Care
Discharge Services code may be reported separately only if they
occur on separate dates of service. -
correct answer ✅Observation Care Discharge Services
the observation services are not reported separately. The
observation services provided on the same date as a hospital
admission are included as part of the admission. -
correct answer ✅patient is admitted to the hospital during an
observation stay
is reported only by the admitting physician. Any services performed
on the same date related to the admission are included in the Initial
Hospital Care code and may not be reported separately. -
correct answer ✅Initial Hospital Care (inpatient service)
Medicare does not pay for consultation codes, except telehealth
consultations, and requires consultation services to be billed with
the most appropriate E/M code other than the consultation codes. -
correct answer ✅Reporting Consultations for Medicare
the process whereby a physician who is providing management for
some or all of a patient's problems relinquishes this responsibility
to another physician who explicitly agrees to accept this
responsibility and who, from the initial encounter, in not providing
, AAPC CPC E/M services Exam
Questions With 100% Verified Answers
consultative services." -
correct answer ✅transfer of care
A critical illness or injury acutely impairs one or more vital organ
systems, such that there is a high probability of imminent or life-
threatening deterioration in the patient's condition." -
correct answer ✅According to CPT® a critically injured or critically
ill patient is
based on the time the physician spent dedicated, and directly
available, to the patient. The physician cannot work on any other
patient during this time. However, the physician is not required to
be in the same room as the patient. The physician can report only
time spent on the same unit or floor as the patient. -
correct answer ✅Critical Care Services codes are reported
more than one physician may report the initial visit, but the
physician of record for an admission to the nursing home should
append a modifier AI Principal physician of record. -
correct answer ✅Nursing Facility Services for Medicare
are reported in addition to a primary E/M service. Prolonged
services may not be reported for services of fewer than 30 minutes.
-
correct answer ✅Prolonged services
must be at least 30 minutes to be reported and cannot be reported
if the physician standing by performs a procedure with a global
Questions With 100% Verified Answers
The reason the visit is initiated is the primary diagnosis for any E/M
service. -
correct answer ✅ICD-10-CM Coding E/M services
used with a diagnosis code(s) located in Chapter 21: Factors
Influencing Health Status and Contact with Health Services (Z00-
Z99). -
correct answer ✅Preventive care E/M codes
Z00.00Encounter for general adult medical examination without
abnormal findings
Z00.01Encounter for general adult medical examination with
abnormal findings -
correct answer ✅Examination/medical (adult)(for)(of)/general
if he or she has not received any face-to-face professional services
from the physician or qualified health professional, or a physician or
qualified health professional of the exact same specialty and
subspecialty within the group practice, within the last three years -
correct answer ✅defined by the AMA A patient is new when
When the patient is seen at another site of service (for example,
ED), and observation status is initiated at the site of service, all E/M
services provided by the admitting physician are considered part of
the initial observation care and not reported separately. -
correct answer ✅observation status
,AAPC CPC E/M services Exam
Questions With 100% Verified Answers
report when the patient is seen on a day other than the date of
admission or discharge. -
correct answer ✅Subsequent Observation Care codes
The Initial Observation Care code and the Observation Care
Discharge Services code may be reported separately only if they
occur on separate dates of service. -
correct answer ✅Observation Care Discharge Services
the observation services are not reported separately. The
observation services provided on the same date as a hospital
admission are included as part of the admission. -
correct answer ✅patient is admitted to the hospital during an
observation stay
is reported only by the admitting physician. Any services performed
on the same date related to the admission are included in the Initial
Hospital Care code and may not be reported separately. -
correct answer ✅Initial Hospital Care (inpatient service)
Medicare does not pay for consultation codes, except telehealth
consultations, and requires consultation services to be billed with
the most appropriate E/M code other than the consultation codes. -
correct answer ✅Reporting Consultations for Medicare
the process whereby a physician who is providing management for
some or all of a patient's problems relinquishes this responsibility
to another physician who explicitly agrees to accept this
responsibility and who, from the initial encounter, in not providing
, AAPC CPC E/M services Exam
Questions With 100% Verified Answers
consultative services." -
correct answer ✅transfer of care
A critical illness or injury acutely impairs one or more vital organ
systems, such that there is a high probability of imminent or life-
threatening deterioration in the patient's condition." -
correct answer ✅According to CPT® a critically injured or critically
ill patient is
based on the time the physician spent dedicated, and directly
available, to the patient. The physician cannot work on any other
patient during this time. However, the physician is not required to
be in the same room as the patient. The physician can report only
time spent on the same unit or floor as the patient. -
correct answer ✅Critical Care Services codes are reported
more than one physician may report the initial visit, but the
physician of record for an admission to the nursing home should
append a modifier AI Principal physician of record. -
correct answer ✅Nursing Facility Services for Medicare
are reported in addition to a primary E/M service. Prolonged
services may not be reported for services of fewer than 30 minutes.
-
correct answer ✅Prolonged services
must be at least 30 minutes to be reported and cannot be reported
if the physician standing by performs a procedure with a global
