Emergency Medicine CPT® Code 99284 – A Comprehensive Review This webinar is AAPC-approved for 1.5 CEU and/or CEDC specialty credits 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 15 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 15 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. For technical support for your Emergency Medicine Coding and Reimbursement Webinar Library subscription please call or email: Cari Laplace Webinar Technical Support Administrator BSA Healthcare Phone: 1-561-434-4740 Email: claplace@bsanda.com NameCompany NameEmailTrue or False: Under the new 2023 Documentation Guidelines, History and Exam are still elements that help determine the final selection of E/M code choice. True FalseThe 2023 CPT® manual defines a Level Four (99284) case as: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional. Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making.Of the following management options, which is indicative of a Level Four-type case: The ED provider orders a babygram to reveal possible fractures resulting from child abuse. The ED provider orders a CT scan and an US to treat a patient. The ED provider performs digital disimpaction on a patient. The ED provider orders three sets of x-rays and a special study.Which of the following examples, meet(s) the MDM requirements necessary to code a Level Four (99284)? Decision regarding major surgery with or without identified patient or procedure risk factors Prescription drug management None Both A and BWhich of the following management options would NOT qualify for application of E/M code 99284: A patient with a minor trauma injury who is discharged with instructions to take Tylenol as needed for pain Case requiring a consultation with another provider Independent interpretation of an EKG PICC line flushGiven appropriate documentation, which of the following clinical scenarios qualifies for application of E/M Code 99284 A patient presents to the ED for a rabies shot. A patient presents to the ED for a medical release form. The patient requires no ancillary studies. A female patient presents to the ED with pelvic pain requiring a pelvic exam. A patient presents to the ED for a tetanus shot.With regards to x-rays, which of the following is indicative of a Level Four-type case: Two to three extremity x-ray series One extremity x-ray series CT of the chest without contrast and without interpretation by the ED provider Both A and CWhich of the following medications (type and route) are indicative of a Level Four-type case: Two or greater IV or IM controlled medications Continuous nebulizers One IV or IM medication, either controlled or non-controlled IV moderate sedationWhich of the following chest pain scenarios is indicative of a Level Four (99284) type case? A patient presents to the ED with localized chest pain that is not accompanied by any other signs, symptoms, or complaints. The patient’s pain resolves on its own, no ancillary studies are required, and she is discharged from the ED A patient presents to the ED with chest pain requiring an EKG which reveals normal results. The patient is discharged home. A patient presents to the ED with sharp, right-sided anterior chest pain. The patient’s history of cardiac arrest prompts the ED provider to order a cardiac work-up consisting of an EKG, a chest x-ray and cardiac enzymes. A patient presents to the ED following a heart attack requires continuous CPR.True or False? Ordering of blood or blood studies is indicative of a Level Four (99284) type case. True FalseAssuming appropriate documentation as a baseline, which of the following clinical scenarios qualifies for application of E/M Code 99284: A patient presents to the ED for a tetanus shot. A patient presents to the ED after she falls off her bike. The ED provider orders an x-ray of the patient’s hand, which reveals negative results. The patient is discharged home with instructions to take OTC medication as needed for pain A female patient presents to the ED for a RAPE exam. A patient arrives at the ED via EMS/rescue following a motor vehicle accident. The patient receives two x-rays series of his left knee and right elbow, both of which reveal negative results. The patient is discharged home with instructions to take OTC medication as needed for painWith regards to x-rays, which of the following is indicative of a Level Four-type case: Two x-rays on select adjacent areas like ankle/foot, hip/pelvis, or wrist/hand Two x-ray series that are either non-adjacent or cover a larger body surface One isolated x-ray series One or > spine seriesPlease select the correct Evaluation & Management (E&M) code level for the following case: A patient presents to the ED complaining of depression. Following an evaluation, the ED physician calls for a consultation from the psych evaluator. The patient is then sent home and asked to set up an appointment at the psych clinic within the week. Level Three (99283) Level Four (99284) Level Five (99285) Level Two (99282)Please select the correct Evaluation & Management (E&M) code level for the following case: A 7-year-old child is seen in the ED for a temperature that is 101.5°F. Amoxicillin is given in the ED and an RX for the same is given at discharge. Level Three (99283) Level Four (99284) Level Five (99285) Level Two (99282)Of the following management options, which is indicative of a Level Four-type case: One extremity x-ray series. Bedside lab studies (POCT) that aren’t sent to the lab. Minor traumatic injury that is evaluated without x-rays and is managed with OTC medication. Rx on discharge.
