module 19 Flashcards
What modifier is used to report an evaluation and management service mandated by a court order?
32
If the pain is sharp, stabbing or dull, using the 1995 & 1997 guidelines, what is the component of the History of Present Illness (HPI)?
Quality
A patient is seen by Dr. B who is covering on call services for Dr. A. The patient is an established patient with Dr. A. but she has not been seen by Dr. B. before. Which E/M subcategory is appropriate to report the services provided by Dr. B?
Established patient office visit
What category of codes should be used to report an evaluation and management service provided to a patient in a psychiatric residential treatment center?
Nursing facility services
Using the 1995 & 1997 guidelines, which elements of HPI are met in this statement? Patient complains of headache and blurry vision for the past 3 days.
There are 3
Location, quality and duration
Where are clinical examples for evaluation and management codes found in the CPT® code book?
appendix c
According to CPT® guidelines, what is the first step in selecting an evaluation and management code for an E/M service provided in a hospital?
Review the code descriptors and examples for the category or subcategory selected
A PCP transfers a patient to a cardiologist for management of the patient’s congestive heart failure. The cardiologist examines the patient, discusses treatment options and schedules a stress test for this new patient. A report is sent to the PCP detailing the findings of the office visit, results of the stress test and intent to manage and treat the congestive heart failure. An E/M code would be selected from what subcategory for the cardiologist?
New patient office visit
When tissue glue is used to close a wound involving the epidermis layer how is it reported?
As though it was a simple closure
A patient is diagnosed as having both acute and chronic tonsillitis. How is this reported in ICD-10-CM?
The acute tonsillitis is reported first; the chronic tonsillitis is reported second.
The patient is reported to have hives in his epigastric region. Where are the hives?
Between umbilicus and sternum
Guidelines from which of the following code sets are included as part of the code set requirements under HIPAA?
ICD-10-CM
If an AMI is documented as nontransmural or subendocardial, but the site is provided, how is it reported, according to ICD-10-CM guidelines?
As a subendocardial AMI
