2023 Evaluation and Management Service Guidelines – Emergency Medicine Coder Training

This webinar is AAPC-approved for 1.0 CEU and/or CEDC, and all specialties except CIRCC and
CASCC provided you score a 70% or higher on the post test. Test takers should read all test instructions, and complete the Required Information fields at the top of the test. This test consists of 10 questions. Please select one best answer for each test question by clicking on the square next to the answer you have selected. This test is not timed; however, the test must be taken in one sitting. When all 10 questions have been answered, please click on the Submit Test button. Your score, as well as logic-reach reasoning for answers to any test questions that you missed, will be displayed immediately following completion and successful transmission of this test.

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Which of the following are examples of therapies and/or dispositions that could indicate that a patient falls within the High risk category?

IV moderate sedation.

Continuous nebulizers.

Admission, transfer or placement in observation.

All of the above.

A patient who presents to the ED requiring a laceration repair (minor surgery) falls under which category of MDM?

Low level of medical decision making.

Moderate level of medical decision making.

Straightforward medical decision making.

High level of medical decision making.

Drug therapy requiring intensive cardiac rhythm monitoring for toxicity fall under which category of risk:

Moderate.

High.

Low.

Minimal.

Under the new 2023 DGs, which of the following E/M levels may not require the presence of a physician or other qualified healthcare professional.

Level One (99281).

Level One (99282).

Level One (99291).

Level One (99292).

Which Emergency Department E/M level shifted from a low moderate level of MDM to a low level of medical decision making in the new 2023 DGs?

Level One (99281).

Level Two (99282).

Level Three (99283).

Level Four (99284).

True or False: Administration of IM Ativan® signifies high risk MDM:

True

False

According to the 2023 DGs, which of the following is true regarding E/M Code 99283, now low complexity in 2023:

E/M code 99283 requires a medically appropriate history and examination, and a moderate level of MDM.

E/M code 99283 may not require the presence of a physician or QHP.

E/M code 99283 requires a medically appropriate history and examination, and straightforward medical decision making.

E/M code 99283 requires a medically appropriate history and examination, and low medical decision making.

Please select the correct Evaluation & Management (E&M) code level for the following case: A patient presents to the ED with a mild exacerbation of her asthma. She receives one Albuterol® nebulizer, now feels fine, and is discharged with a Rx for an Albuterol® inhaler.

Level Two (99282).

Level Four (99284).

Level Three (99283).

Level One (99281).

Of the following interpretations, which one would NOT qualify for application of the -26 modifier?

ED physician’s interpretation of an EKG (93010).

ED physician’s interpretation of an x-ray of the hand (73130).

ED physician’s interpretation of an ocular ultrasound (76512).

ED physician’s interpretation of a soft tissue ultrasound of the axilla (76882).

True or False: ED Coders must rely on Time and not solely on MDM to choose an E/M Level in an Emergency Department Setting.

True.

False.

2023 Evaluation and Management Service Guidelines – Emergency Medicine Coder Training – Part 4 of 4