Emergency Medicine CPT® Code 99285 – 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 NameEmailThe 2023 CPT® manual defines a Level Five (99285) 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 makingOf the following management options, which is indicative of a Level Five-type case: Placement of a Foley catheter to relieve urinary retention Order and performance of a psychiatric evaluation with subsequent discharge IV moderate sedation An eye exam with use of a slit lampOf the following management options, which is indicative of a Level Five-type case: Four or more sets of x-rays Spirometry Suctioning of a tracheotomy tube Catheter removalWhich of the following examples, meet(s) the MDM requirements necessary to code a Level Five (99285)? Decision regarding major surgery without identified patient or procedure risk factors Drug therapy requiring intensive monitoring Decision regarding major surgery with identified patient or procedure risk factors None of the aboveWhich of the following management options would NOT qualify for application of E/M code 99285: PICC line flush Order of one special study with contrast Order of three sets of x-rays and a special study Three ancillary studies with documented interpretation of an EKG by the ED providerAssuming appropriate documentation as a baseline, which of the following clinical scenarios qualifies for application of E/M Code 99285: A patient presents to the ED for a rabies or tetanus 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 for a RAPE exam A psychiatric evaluation with no ancillary studies and subsequent dischargeWith regards to x-rays, which of the following is indicative of a Level Five-type case: Two to three extremity x-ray series Four or more sets of x-rays One to two spinal x-ray series CT of the chest without contrast and without interpretation by the ED providerWhich of the following medications (type and route) are indicative of a Level Five-type case: Two or greater IV or IM controlled medications Continuous nebulizers One IV or IM medication, either controlled or non-controlled A and BTrue or False? Ordering of blood or blood studies is indicative of a Level Five (99284) type case. True FalsePlease select the Level-Five type case from the following list: 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. A 65-year-old female is in a MVC. She is restrained with cervical precautions and complains of brief LOC and pain in the neck. The ED provider orders CT scans of the head and the neck. Both are negative. The patient receives IV Toradol in the ED for her pain. Once her pain has resolved, she is discharged with a prescription for pain medication 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 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 an Rx for an Albuterol™ inhaler.Which of the following lab studies would typically indicate a Level Five case: A full cardiac work-up consisting of cardiac enzymes (usually CPK and Troponin) and an EKG Chem-7 Two ancillary studies and an ABG D-DimerA patient presents to the ED with abdominal pain. Which of the following studies would typically indicate a Level Five (99285) type case: An Ultrasound and IV Normal Saline An MRI An Ultrasound followed by a CT scan An EKG with interpretationA patient presents to the ED complaining of chest pain. Which of the following objective criteria are indicative of a Level Five-type chest pain case: 1 Special Study and administration of IV fluids 1 Special Study, administration of IV fluids, and 3 or greater ancillary studies 1 Special Study and any IV or IM/SQ meds None of the aboveA patient presents to the ED complaining of shortness of breath. Which of the following objective criteria are indicative of a Level Five (99285) type case? Two sets of x-rays IV Solu-Medrol Four ancillary studies and 3 nebulizer treatments One set of x-rays and administration of an oral medication in the EDA patient presents to the ED complaining of abdominal pain. Which of the following objective criteria are indicative of a Level Five (99285) type case? One Special Study and administration of IV fluids 1 Special Study, administration of IV fluids, and 1 ancillary study 1 Special Study and any IV or IM/SQ meds Documentation of any three of the following - 1 Special Study, IV fluids, IV or IM/SQ meds, or 3 or greater ancillary studies
