Objective Criteria for Emergency Medicine E/M Code Choice

This webinar is AAPC-approved for 1.5 CEU and/or CEDC, and all specialties except CIRCC 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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Name

Company Name

Email

True or False: Time is a descriptive component for emergency department E/M codes.

True.

False.

Which of the following combination of items are no longer components in selection of E/M code choice?

History and MDM

Exam and MDM

History and Exam

PSH and MDM

Fill in the blank: Per the new 2023 Documentation Guidelines, E/M Code 99283 (Level Three) is now ____ complexity MDM.

Straightforward

Low

Moderate

High

True or False: No distinction is made between new and established patients in the emergency department.

True

False

Assuming proper documentation as a baseline, which of the following management options would qualify for application of E/M Code 99282 (Level Two):

POCT testing

A prescription on discharge

Over-the-counter meds administered in the ED

None of the above

Assuming proper documentation as a baseline, which of the following management options would qualify for application of E/M Code 99284 (Level Four):

A minor traumatic injury that is evaluated without x-rays and is managed with OTC medication.

Psychiatric evaluation in the emergency department with subsequent discharge of the patient.

A Minor illness with no associated systemic symptoms that are evaluated without testing and treated with OTC medication.

A localized complaint that does not include additional symptoms.

Assuming proper documentation as a baseline, ordering an EKG will generally start at which of the following E/M levels:

Level Two – E/M code 99282

Level Three – E/M code 99283

Level Four – E/M code 99284

Level Five – E/M code 99285

If a patient presents to the ED with one stable, chronic illness and no labs or x-rays are ordered, and no meds are administered in the ED or on discharge, which level of risk would apply:

Low

Moderate

Minimal

High

Which of the following clinical scenarios would generally start as a Level Four (E/M code 99284):

A patient who complains of chest pain and receives a cardiac work-up including an EKG and cardiac enzymes.

A patient who arrived at the ED via EMS/rescue.

A psychiatric evaluation for a patient who arrived at the ED and is placed in observation for a possible overdose.

A psychiatric patient who is involuntarily admitted.

Which of the following clinical scenarios would generally start as a Level Five (E/M code 99285):

A child or elder abuse or neglect case (suspected but not necessarily confirmed).

A rape exam or any exam that requires collection of forensic evidence or arrangement of transfer of a patient to a rape-crisis center.

An abrupt change in mental status without the need for airway control or large IV fluid infusion (i.e., 2 or more liters).

All of the above.

Objective Criteria for Emergency Medicine E/M Code Choice – Part One