The CPT code set is made up of Category I codes, Category II codes, and Category III codes. Which description below best describes the purpose of Category II codes?

CPT codes that are designed to measure performance of procedures and services are developed by which of the following organizations?

Category I CPT codes are made up of:

Category II codes may have up to three denomination exclusion modifiers appended. What exclusions does Modifier 2P identify?

The purpose of Category III codes is to describe which of the following?

The Healthcare Common Procedure Coding System (HCPCS) consists of two levels: Level I, which is the CPT code set, and Level II, which represents medical supplies, durable medical goods, nonphysician services, and services not represented in the Level I code set. Which of the following were developed to be used with both HCPCS levels?

Case management is defined as a process by which a physician/QHP is responsible for which of the following?

Preventive Medicine Services (99381-99429) include which of the following subcategories?

Non–Face-to-Face Services (99441-99449) include which of the following?

In the 1995 CMS Documentation Guidelines, there were seven body areas and eleven organ systems. The 1997 CMS Documentation Guidelines called for how many general multisystem examinations?

In both the 1995 and 1997 CMS Documentation Guidelines, medical decision making is composed of which of the following?

Within the history key component, a major description of the reason the patient is seeking medical help is known as the:

Which of the following terms is described as a chronological description of the development of the patient’s present illness from the first sign and/or symptom to the present?

Of the following seven components listed, which are considered the “key components” used in determining levels of E/M service? 1. History 2. Examination 3. Medical decision making 4. Counseling 5. Coordination of care 6. Nature of presenting problem 7. Time

Match the following CPT codes with the appropriate subcategory label: Office or Other Outpatient Consultations

Match the following CPT codes with the appropriate subcategory label: Critical Care Services

Match the following CPT codes with the appropriate subcategory label: Initial Observation Care

Match the following CPT codes with the appropriate subcategory label: Subsequent Hospital Care

Match the following CPT codes with the appropriate subcategory label: New Patient

Which listing below best covers some of the seven dimensions of HPI?

Medical decision making refers to:

Which key component considers the amount and/or complexity of medical records, diagnostic tests, and/or other information that must be obtained, reviewed, and analyzed?

Codes reserved for encounters in the emergency department can be used by which of the following health care professionals if multiple providers treat the patient in the emergency department?

When code 99285 is reported for an emergency department encounter, the emergency department physician may or may not be able to perform all three key components as required for a level 5 visit. Which term describes the reason an emergency department physician could report code 99285?

A morbidly obese patient with diabetes and hypertension is seen in an established patient office visit. After performing an expanded problem-focused history and examination, blood work reveals that this patient needs to start insulin. Medical decision making is of moderate complexity. The documentation for this patient visit shows that the patient is counseled regarding the insulin regimen and attendant risks for 15 minutes of the total 25-minute visit. What is the correct code to report?

In addition to physical status modifiers, it may be appropriate to report other CPT modifiers when codes for procedural services are reported in addition to the basic anesthesia service. If an anesthesiologist performs additional procedures, how is this reported?

Which of the following refers to the technique of anesthetizing the roots or trunks of the brachial plexus in the neck between the anterior and middle scalene muscles?

In the event code 99140 is reported, an emergency in anesthesia is considered:

When anesthesia is provided by an anesthesiologist for arthroscopic meniscus repair of the right knee, which CPT code(s) is reported?

When does anesthesia time begin?

When coding the anesthesia provided by a certified registered nurse anesthetist for a cesarean section of a patient who did not have an epidural during labor, what is the correct code to report?

When anesthesia is provided by an anesthesiologist for a transurethral resection of the prostate, what is the correct code to report?

When anesthesia is provided by an anesthesiologist for a repair of a cleft palate under general anesthesia, what is the correct code to report?

When anesthesia is provided by an anesthesiologist for a total left knee replacement surgery, what is the correct code to report?

When anesthesia is provided by an anesthesiologist for an orchiopexy in an 11-month-old boy, what are the correct codes to report?

A Type 2 diabetic patient having had several weeks of abdominal pain, now has surgery for a cholecystectomy. What is the correct coding for this situation?

After many hours of labor with no pain medication and the baby not moving properly into the birth canal for a successful vaginal delivery, a decision was made to perform a cesarean section under general anesthesia. What is the correct coding for this situation?

An open procedure is performed to revise a total hip arthroplasty on a 78-year-old patient with uncontrolled diabetes and long-term congestive heart failure. What is the correct coding for this situation?

A 55-year-old patient is diagnosed with a 5.5-cm aortoiliac aneurysm. General anesthesia was used for an endovascular repair of the aneurysm with pump oxygenator. What is the correct coding for this situation?

Which of the following catheterization procedures is considered an invasive form of monitoring?

Which of the following terms describes blood oxygen concentration?

Which of the following terms describes the passing of a thin tube or catheter into the right side of the heart and the arteries leading to the lungs?

Which of the following covers all aspects of anesthesia care including a preprocedure visit, intraprocedural care, and postprocedure anesthesia management?

Which of the following is the correct physical status modifier to use when reporting a patient with a severe systemic disease that is a constant threat to life?

A MAC differs from moderate (conscious) sedation in that:

On December 3, 2018 Dr. Smith saw a Medicare patient with a diagnosis of rectal abscess in Central Hospital. She performed an incision and drainage in the outpatient surgery department. Which coding system would be used to capture the diagnosis of rectal abscess?

On December 3, 2018 Dr. Smith saw a Medicare patient with a diagnosis of rectal abscess in Central Hospital. She performed an incision and drainage in the outpatient surgery department. Which coding system would Central Hospital use to bill for the surgical services?

What code set describes the diagnosis code to support medical necessity?

Center for Medicare and Medicaid Services (CMS) are responsible for managing

A patient is seen in a clinic for a laceration of the elbow. The wound requires suturing. On the claim form, which of the following types of codes would be assigned to represent the diagnosis of laceration?

Which of the following diagnoses would not meet medical necessity for a patient needing an ultrasound?

The patient is seen for a chief complaint of shortness of breath and fatigue. The physician performs a detailed history, comprehensive examination, and medical decision-making is of moderate complexity. What is the correct E/M code for this service?

The physician conducts a home visit for an established patient who is bed-ridden. A comprehensive interval history and comprehensive examination is performed with medical decision-making of moderate complexity. What is the correct E/M code for this encounter?

A 92-year-old new patient is seen in the patient’s home to evaluate symptoms that include a cough and fever. The patient has a history of diabetes, and the family does not wish the patient to be hospitalized. A comprehensive history and examination with high-complexity decision making is performed. What is the correct E/M code assignment for this service?