Office Visit (e&m) Coding

7 Questions

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Office Visit (e&m) Coding

This quiz will test your knowledge of Office Visit (E&M) Coding.


Questions and Answers
  • 1. 
    • A. 

      A. Evaluation and Measurement, a system of coding outpatient medical procedures.

    • B. 

      B. Exempted Methodology, allows a certain medical visits to use a generic E&M code.

    • C. 

      C. Evaluation and Management, used as the official coding definition for an office visit.

    • D. 

      D. Not sure.

  • 2. 
    In a patient’s medical chart or superbill, which explains to the payer “what” happened at the medical encounter? 
    • A. 

      A. ICD-9 code.

    • B. 

      B. CPT or HCPC code.

    • C. 

      C. Your clear clinical notes.

    • D. 

      D. Not sure.

  • 3. 
    • A. 

      A. ICD-9 code.

    • B. 

      B. CPT or HCPC code.

    • C. 

      C. Your clear clinical notes.

    • D. 

      D. Not sure.

  • 4. 
    • A. 

      A. Patient history.

    • B. 

      B. Allergies.

    • C. 

      C. Consent to Treat.

    • D. 

      D. Reason for Visit.

    • E. 

      E. Current medications.

    • F. 

      F. Exam.

    • G. 

      G. Medical decision making.

    • H. 

      H. Treatment Plan.

    • I. 

      I. Continuity of Care.

  • 5. 
    When seeing an “established” patient, what is the “Key Component” coding difference?  
    • A. 

      A. Coding for established patients may not include a first-time consent to treat code.

    • B. 

      B. Coding for established patients excludes patient history.

    • C. 

      C. Coding for established patients requires that 2 of 3 key components are met.

    • D. 

      D. Not sure

  • 6. 
    If you had a patient encounter where more than 50% of the visit was taken up with counseling, what kind of coding should you choose?
    • A. 

      A. E&M coding

    • B. 

      B. Time-based coding

    • C. 

      C. Key component coding

    • D. 

      D. Not sure.

  • 7. 
    • A. 

      A. When the service is delivered by an RN only

    • B. 

      B. When the service is delivered by an LVN, RN, or PHN

    • C. 

      C. When certain brief services are delivered by ancillary staff, e.g., counseling and education.

    • D. 

      D. Not sure.