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Procedural Coding and Evaluation in Medical Services Quiz

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#1

Which CPT code range is used for evaluation and management services?

99201-99499
Explanation

Range for evaluation and management services.

#2

What is the purpose of the CPT code modifier -25?

To indicate a significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure
Explanation

Indicates a separate evaluation and management service on the same day.

#3

Which of the following is NOT an element of the Evaluation and Management (E/M) documentation guidelines?

Past Medical History
Explanation

Excluded element from E/M documentation guidelines.

#4

Which of the following E/M services involve a comprehensive history, comprehensive examination, and high complexity medical decision making?

99205
Explanation

Comprehensive history, exam, and high complexity decision making.

#5

What is the primary purpose of using Level II HCPCS codes?

To identify durable medical equipment, prosthetics, orthotics, and supplies
Explanation

Identifies durable medical equipment and supplies.

#6

Which of the following E/M codes is used for a detailed history, detailed examination, and moderate complexity medical decision making?

99214
Explanation

Detailed history, exam, and moderate complexity decision making.

#7

Which of the following E/M codes represents the highest level of service for a new patient office visit with a detailed history, detailed examination, and high complexity medical decision making?

99205
Explanation

Highest level service for new patient with detailed history, exam, and high complexity decision making.

#8

What does the CPT code modifier -26 indicate?

To indicate a professional component of a service
Explanation

Indicates a professional component.

#9

What is the primary purpose of using Level I HCPCS codes?

To identify services and procedures provided by physicians and other healthcare professionals
Explanation

Identifies services and procedures by healthcare professionals.

#10

Which of the following E/M codes represents a level 3 established patient office visit with an expanded problem-focused history, expanded problem-focused examination, and straightforward medical decision making?

99213
Explanation

Level 3 established patient visit with expanded history, exam, and straightforward decision making.

#11

What is the primary purpose of using Level III HCPCS codes?

To report anesthesia services
Explanation

Reports anesthesia services.

#12

Which of the following CPT codes is used for a limited examination of a specific body area or organ system?

99211
Explanation

Limited examination of specific body area or organ system.

#13

Which of the following E/M codes represents a level 4 new patient office visit with a comprehensive history, comprehensive examination, and moderate complexity medical decision making?

99205
Explanation

Level 4 new patient visit with comprehensive history, exam, and moderate complexity decision making.

#14

What is the primary purpose of using Level IV HCPCS codes?

To report anesthesia services
Explanation

Reports anesthesia services.

#15

Which of the following CPT codes is used for an established patient office visit that may not require the presence of the physician?

99211
Explanation

Established patient visit that may not require physician's presence.

#16

What does the CPT code modifier -59 indicate?

Distinct procedural service
Explanation

Indicates a distinct procedural service.

#17

Which of the following E/M codes does NOT require the key components of history, exam, and medical decision making to be documented?

99281
Explanation

Does not require documented key components.

#18

Which of the following is NOT a key component of the medical decision making (MDM) process in E/M services?

Number of organ systems examined
Explanation

Excluded component from MDM process.

#19

What is the purpose of the CPT code modifier -22?

To indicate an increased procedural service
Explanation

Indicates increased procedural service.

#20

Which of the following is NOT a component of the level of history in E/M documentation?

Past family history
Explanation

Excluded component from level of history in E/M documentation.

#21

Which of the following CPT codes is used for a comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures?

99381
Explanation

Comprehensive preventive medicine evaluation and management.

#22

What is the purpose of the CPT code modifier -33?

To indicate a service provided as part of preventive care
Explanation

Indicates service as part of preventive care.

#23

Which of the following is NOT a component of the level of examination in E/M documentation?

Social history
Explanation

Excluded component from level of examination in E/M documentation.

#24

What does the CPT code modifier -57 indicate?

To indicate an evaluation and management service was initiated by the decision to perform surgery
Explanation

Indicates E/M service initiated by decision to perform surgery.

#25

Which of the following is NOT a key component of the level of medical decision making (MDM) in E/M documentation?

Number of organ systems examined
Explanation

Excluded component from level of MDM in E/M documentation.

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