COMPLETE WITH INSTRUCTIONS
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WK8 QUESTION HP-213
Instructions: Select the most appropriate response.
1) Which code reflects a level 5 E/M service?
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Responses
99212
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99212
99213
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99213
99214
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99214
99215
Question
2) When an unlisted procedure or service code is reported, a special report must accompany the claim to describe ___________ of the procedure or service.
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Responses
the nature, extent, and need
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the nature, extent, and need
the type of service and amount of time required
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the type of service and amount of time required
the place of service and type of service
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the place of service and type of service
whether the patient is new or established
3) Subcategories within the E/M section include services that contain codes and descriptions that are based on the __________.
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Responses
place of service
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place of service
documented history and exam
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documented history and exam
medical decision-making or time
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medical decision-making or time
type of service
4) A patient returns to the physician’s office today with neck and back pain. During a previous office visit last month, the patient was diagnosed as having multiple areas of bulging discs. The patient is not considered a surgical candidate at this time. Significant trauma in the past is noted, but C2–12 are intact. Deep tendon reflexes are within normal limits and symmetrical in the upper and lower extremities. Heart, lungs, and abdomen are without significant pathology. There are marked paravertebral spasms throughout the cervical, thoracic, and lumbar regions. HEENT: Patient has bilateral otitis externa noted. The physician spends 35 minutes with the patient. Which code is assigned?
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Responses
99203
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99203
99204
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99204
99213
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99213
99214
5) Which terms describe the levels of work involved in medical decision making?
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Responses
Problem focused, expanded problem focused, detailed, comprehensive
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Problem focused, expanded problem focused, detailed, comprehensive
Minimal, self-limited, low severity, moderate severity, high severity
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Minimal, self-limited, low severity, moderate severity, high severity
Face-to-face, unit-floor, pre-encounter, post-encounter
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Face-to-face, unit-floor, pre-encounter, post-encounter
Straightforward, low, moderate, high
6) A patient experiencing acute breathing trouble required one hour of direct face-to-face care from the physician. In addition to the appropriate level of E/M service code, which E/M subsection should be referenced to assign an additional code?
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Responses
Case Management Services
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Case Management Services
Prolonged Services
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Prolonged Services
Care Plan Oversight Services
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Care Plan Oversight Services
Preventive Medicine Services
7) A physician spent approximately two hours on a conference call coordinating activities with members of a transplant team who were preparing to perform an organ transplant on his patient. From which E/M subsection would the code for this service be reported?
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Responses
Care Plan Oversight Services
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Care Plan Oversight Services
Case Management Services
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Case Management Services
Critical Care Services
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Critical Care Services
Special Evaluation and Management Services
8) A patient was admitted to the hospital on November 4 for reconstructive surgery. After surgery, the physician reviewed the patient’s record to determine how the patient was responding to the treatment. The patient was discharged November 6. Under which subsection of Hospital Inpatient Services would the code for the November 6 encounter be located?
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Responses
Initial Hospital Care
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Initial Hospital Care
Hospital Discharge Services
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Hospital Discharge Services
Observation or Inpatient Care Services
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Observation or Inpatient Care Services
Subsequent Hospital Care
