E/M CODING SCENARIOS QUESTIONS AND ANSWERS
Well-baby check-up on a 2-month-old female new patient. - CORRECT ANSWER✅✅✅99381
A 13-year-old new patient presents for a well-check examination. The patient does not report any
medical complaints. - CORRECT ANSWER✅✅✅99384, Z00.00?
A patient in the ED has a temperature of 103 and is in acute respiratory distress. The physician is unable
to obtain a history or perform a comprehensive physical examination because the patient's condition is
severe and a threat to life. The MDM complexity is high. - CORRECT ANSWER✅✅✅99285, J80
John Ball was seen by his physician and underwent a workers' compensation evaluation - CORRECT
ANSWER✅✅✅99455
An 56-year-old established patient presents to her doctor's office with chest pain and shortness of
breath. The doctor orders an ambulance to take the patient to the ED to be checked out. From the ED
the patient is admitted for some tests to determine what the problems are. The history and exam
performed were comprehensive and the MDM was of moderate complexity - CORRECT
ANSWER✅✅✅99284
75-year-old man with a medical history that includes BPH, HTN, and NIDDM presents to his primary care
physician for his six-month check-up. The patient is taking all prescribed medications and needs a refill
of his hypertensive medication. The physician counsels the patient at this session on ways to reduce his
prostatic hypertrophy that include laser surgery and microwave therapy. - CORRECT
ANSWER✅✅✅99397, 600.00, 401.9, 250.00
Which of the following describes a service for which the patient does not have an illness severe enough
to meet acute inpatient criteria but does require hospitalization for a short period of time? - CORRECT
ANSWER✅✅✅Observation services
A physician is called to the intensive care unit to provide care for a patient who received second- and
third-degree burns over 50 percent of his body due to a chemical fire. The patient is in respiratory
distress and is suffering from severe dehydration. The physician provides support for two hours. Later
that day the physician returns and provides an additional hour of critical care support to the patient -
CORRECT ANSWER✅✅✅99291, 99292 X 4, T31.55, X08.8XXA
, A 50-year-old female has brain cancer, and the physician supervised the coordination of hospice
services, which required 45 minutes of his time. - CORRECT ANSWER✅✅✅99378
A 75-year-old patient was just diagnosed with type 1 diabetes. This means that the patient will have to
give himself insulin shots. The physician supervised the coordination of home health care, which
required 30 minutes of his time. - CORRECT ANSWER✅✅✅99375, E10.9
A new patient with a history of mental retardation and self-abuse is sent to a custodial care facility for
admission. The patient's family is no longer able to care for the patient at home. The care facility
physician documents a problem focused history and exam. The MDM was straightforward. - CORRECT
ANSWER✅✅✅99324
An office consultation is performed for a postmenopausal woman who is complaining of spotting in the
past 6 months with right lower quadrant tenderness. A comprehensive history and physical are
performed with a low complexity MDM. - CORRECT ANSWER✅✅✅99243
When a physician performs this type of exam, the patient is healthy and has no complaint or is coming in
for a routine physical - CORRECT ANSWER✅✅✅Preventive medicine
Critical care codes are reported based on - CORRECT ANSWER✅✅✅Time
A patient was in the delivery room ready to give birth. When the physician had the patient start pushing,
possible complications for the infant were noted and the hospital pediatric neonatal specialist was
notified of a possible need for her evaluation of this newborn. The pediatric specialist was notified at
9:20 am. At 10 am, the pediatric specialist was informed via phone call from the OB/GYN that the infant
had normal APGAR scores of 9 and 9. - CORRECT ANSWER✅✅✅
A 3-month-old baby has been in the PICU in critical condition for several days. The child is cyanotic and
has been found to have a ventricular septal defect. The child requires cardiac monitoring. The attending
physician is managing the child's care on the third day of his stay in the PICU. - CORRECT
ANSWER✅✅✅NNN99471, Q21.0
Well-baby check-up on a 2-month-old female new patient. - CORRECT ANSWER✅✅✅99381
A 13-year-old new patient presents for a well-check examination. The patient does not report any
medical complaints. - CORRECT ANSWER✅✅✅99384, Z00.00?
A patient in the ED has a temperature of 103 and is in acute respiratory distress. The physician is unable
to obtain a history or perform a comprehensive physical examination because the patient's condition is
severe and a threat to life. The MDM complexity is high. - CORRECT ANSWER✅✅✅99285, J80
John Ball was seen by his physician and underwent a workers' compensation evaluation - CORRECT
ANSWER✅✅✅99455
An 56-year-old established patient presents to her doctor's office with chest pain and shortness of
breath. The doctor orders an ambulance to take the patient to the ED to be checked out. From the ED
the patient is admitted for some tests to determine what the problems are. The history and exam
performed were comprehensive and the MDM was of moderate complexity - CORRECT
ANSWER✅✅✅99284
75-year-old man with a medical history that includes BPH, HTN, and NIDDM presents to his primary care
physician for his six-month check-up. The patient is taking all prescribed medications and needs a refill
of his hypertensive medication. The physician counsels the patient at this session on ways to reduce his
prostatic hypertrophy that include laser surgery and microwave therapy. - CORRECT
ANSWER✅✅✅99397, 600.00, 401.9, 250.00
Which of the following describes a service for which the patient does not have an illness severe enough
to meet acute inpatient criteria but does require hospitalization for a short period of time? - CORRECT
ANSWER✅✅✅Observation services
A physician is called to the intensive care unit to provide care for a patient who received second- and
third-degree burns over 50 percent of his body due to a chemical fire. The patient is in respiratory
distress and is suffering from severe dehydration. The physician provides support for two hours. Later
that day the physician returns and provides an additional hour of critical care support to the patient -
CORRECT ANSWER✅✅✅99291, 99292 X 4, T31.55, X08.8XXA
, A 50-year-old female has brain cancer, and the physician supervised the coordination of hospice
services, which required 45 minutes of his time. - CORRECT ANSWER✅✅✅99378
A 75-year-old patient was just diagnosed with type 1 diabetes. This means that the patient will have to
give himself insulin shots. The physician supervised the coordination of home health care, which
required 30 minutes of his time. - CORRECT ANSWER✅✅✅99375, E10.9
A new patient with a history of mental retardation and self-abuse is sent to a custodial care facility for
admission. The patient's family is no longer able to care for the patient at home. The care facility
physician documents a problem focused history and exam. The MDM was straightforward. - CORRECT
ANSWER✅✅✅99324
An office consultation is performed for a postmenopausal woman who is complaining of spotting in the
past 6 months with right lower quadrant tenderness. A comprehensive history and physical are
performed with a low complexity MDM. - CORRECT ANSWER✅✅✅99243
When a physician performs this type of exam, the patient is healthy and has no complaint or is coming in
for a routine physical - CORRECT ANSWER✅✅✅Preventive medicine
Critical care codes are reported based on - CORRECT ANSWER✅✅✅Time
A patient was in the delivery room ready to give birth. When the physician had the patient start pushing,
possible complications for the infant were noted and the hospital pediatric neonatal specialist was
notified of a possible need for her evaluation of this newborn. The pediatric specialist was notified at
9:20 am. At 10 am, the pediatric specialist was informed via phone call from the OB/GYN that the infant
had normal APGAR scores of 9 and 9. - CORRECT ANSWER✅✅✅
A 3-month-old baby has been in the PICU in critical condition for several days. The child is cyanotic and
has been found to have a ventricular septal defect. The child requires cardiac monitoring. The attending
physician is managing the child's care on the third day of his stay in the PICU. - CORRECT
ANSWER✅✅✅NNN99471, Q21.0
