Objective Criteria for Emergency Medicine E/M Code Choice

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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Order and administration of the following medication type and route would generally start at a Level Three (E/M code 99283):

600 to 800 mgs Ibuprofen

OTC meds including Tylenol®, ASA or Ibuprofen at a low dose like 200 or 400 mgs

One IM med, either controlled or non-controlled

IV moderate sedation with Propofol®

True or False: In an ED setting, IV fluids and/or IV blood products are typically given in Level Two (E/M code 99282) and Level Three (E/M code 99283) type cases.

True

False

Which of the following IV fluids and/or IV blood products would typically be ordered and administered in a Critical Care type encounter?

Order and administration of universal blood (O- or O+)

Order and administration of transfused blood or blood products in the ED

Bolus of > than or = to two liters of IV fluids in an adult or 20 to 30 cc/kg in a pediatric patient

All the above.

Which of the following ancillary studies would typically be ordered in a Level Four (E/M code 99284) type encounter?

None

Vaginal, abscess, or blood culture

POCT urine, pregnancy or blood sugar test

Cardiac enzymes with EKG and cardiac workup (may or may not include a chest x-ray)

Which of the following x-ray studies would typically be ordered in a Level Five (E/M code 99285 type encounter?

Three spinal series

One to three sets of x-rays

Three labs w/ an x-ray

CT of chest with or without contrast and with or without visualization or interpretation

Which of the following special studies would typically be ordered in a Level Four (E/M code 99284 type encounter?

Bladder scan

MRI

CT scan and ultrasound of the abdomen

A and B

A patient presents to the ED for evaluation of a Gastrostomy tube. The ED physician changes the tube. Assuming proper documentation as a baseline, which of the following E/M levels would apply?

Level Two – E/M code 99282

Level Three – E/M code 99283

Level Four – E/M code 99284

Level Five – E/M code 99285

Assuming proper documentation as a baseline, which of the following procedure(s) would qualify for application of E/M code 99285 (Level Five)?

PICC line flush

Two special studies

Three x-ray series

One special study

True or False: Time to perform separately billable procedures should be counted towards total Critical Care time.

True

False

Assuming proper documentation as a baseline, which of the following patient dispositions would generally qualify for application of E/M code 99285 (Level Five):

Voluntary admission of a psych patient requiring no labs, x-rays, special studies, or medications in the ED

Voluntary admission of a patient who has abused drugs or alcohol

A patient for whom admission has been arranged following being worked up and transferred from another facility

None of the above

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