Emergency Medicine Coding: Your Most Commonly Asked Clinical Questions Answered

This webinar is AAPC-approved for 1.5 CEU, CEDC, CPCO, and/or CPMA 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.

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Name

Company Name

Email

A Foley catheter is used for:

Urine output monitoring

Resolution of urinary retention

Temporary replacement of a gastrostomy tube

All the above

True or False: “In and out: catheters remain in a patient’s bladder.

True

False

Severe abdominal pain that is caused by urinary retention is generally a high-moderate type case in nature and therefore typically starts as which of the following E/M levels:

Level Two

Level Three

Level Four

Level Five

Which of the following group of vital signs may indicate an unstable patient or a Critical Care-type case:

Pulse oximetry of 70%

Temperature of 103°

Heart rate of 90

GCS of 14

Use of a Fleet’s enema to relieve constipation is generally considered to be what type of case risk and severity:

Low risk and severity

Low moderate risk and severity

Low risk, moderate severity

High moderate risk and severity

Throat and vaginal cultures would generally represent what type of case risk and severity:

Low risk and severity

Low moderate risk and severity

Low risk, moderate severity

High moderate risk and severity

Urine, blood, wound, and eye cultures generally represent what type of case risk and severity:

Low risk and severity

Low moderate risk and severity

Low risk, moderate severity

High moderate risk and severity

Which of the following is true of coding for moderate sedation:

At least 30 minutes of intra-service time must be documented

The time the provider entered and left the room must be documented

At least 16 minutes of intra-service time must be documented on the patient record

The time that IV medications are administered must be documented

What does a full cardiac workup consist of:

An EKG, a BMP, and a CBC

An EKG and cardiac enzymes

An EKG, a chest x-ray, and cardiac enzymes

An EKG alone

Which of the following is an example of a Level Four-type psych admission:

Psychiatric professional evaluation with admission

Involuntary admission

Voluntary admission without any labs, x-ray, or Special Studies ordered, and no medications administered

Patient requiring chemical or physical restraints

Which of the following is an example of a Level Five-type psych admission:

Psychiatric professional evaluation with ultimate discharge

Voluntary admission without any labs, x-ray, or Special Studies ordered, and no medications administered

Voluntary admission with three or greater ancillary studies or administration of any medications

Significant self-inflicted trauma

Which of the following is an example of a Critical Care-type psych admission:

Involuntary admission

Transfer to a psych facility

Up to six hours of observation secondary to a possible overdose and subsequent psych evaluation

Administration of more than one dose of IM or IV Ativan or Haldol for significant aggression or agitation

Order and evaluation of multiple special studies generally indicates what type of case:

A high risk, high severity type case

A high moderate risk, high moderate severity type case

A moderate risk, moderate severity type case

A low-moderate risk, low-moderate severity type case

True or False: Critical Care cannot be coded if CPR is provided to a patient for the entire length of the ED patient encounter and the patient expires.

True

False

If a patient presents to the ED and the ED provider supervises CPR throughout the entire stay in the ED until the patient expires, which of the following codes should be considered:

99285 and 92950

99291 and 92950 if the time spent performing CPR is included in Critical Care time

99284

99285 alone