Question

Coding Evaluation and Management Services

Supply the correct EM/ CPT Codes for the following procedure and services.

1. New patient office visit level 2 case with expanded problem-focused history, expanded problem-focused examination, straightforward medical decision making. Code: _____________________.
2. New patient office visit level 1 case with problem-focused history, problem-focused examination, straightforward decision making. Code: __________________________.
3. Established patient office visit level 2 case with problem-focused history, problem-focused examination, straightforward medical decision making. Code: ________________________.
4. Established patient office visit level 5 case with comprehensive history, comprehensive examination, high-complexity decision making. Code: ____________________________
5. Office visit for a four-year-old male, established patient, with an expanded problem-focused history and physical examination for earache and dyshidrosis of feet and low-complexity medical decision making. Code: __________________

6. Office consultation for a 67-year-old male with chronic low back pain radiating to the left leg requiring a detailed history and examination and low-complexity decision making. Code: __________

7. Emergency department visit for a female who received an abrasion and needs a tetanus toxoid immunization. A problem-focused history and examination was performed, and medical decision making was straightforward. Code: _____________

8. Excision, benign lesion, face, 0.5 cm. Code: _______________

9. Repair layered closure of lt leg 2.7 cm laceration. Code: _________________
10. Closed reduction of rt humeral shaft fracture, no manipulation. Code: __________________
11. Subsequent application of long leg cast (walker). Code: _________________
12. Remove fried potato from left nostril of child. Code: ___________________
13. Simple excision of small nasal polyp. Code: ___________________
14. Introduction of catheter into superior vena cava. Code: __________________
15. Coronary artery bypass using single arterial graft. Code: _________________
16. Biopsy of cervical lymph nodes, open, deep. Code: ___________________
17. Open excision for removal of total spleen. Code: _____________________
18. Liver biopsy; needle; percutaneous. Code: ____________________

Answer 1

Current procedural terminologies (CPT) for office visit are provided based on the history (problem focused, expanded problem focused, detailed and comprehensive), physical examination (problem focused, expanded problem focused, detailed and comprehensive), and medical decision making (straight forward, low, moderate, and high). Office consultation CPT codes are also used to bill for emergency consultation and in case of admission for observation.

1. 99202

2. 99201

3. 99212

4. 99215

5. 99213

6. 99243

7. 99241

Current procedural terminologies are also used for medical, surgical, and diagnostic procedures.

8. 11440

9. 12032

10. 24500

11. 29355

12. 30300

13. 30110

14. 36010

15. 33533

16. 38510

17. 38100

18. 47000