ENM Series CPT Questions

CPT Question Practice Series ENM : In this article, we collect some important questions related to ENM series guidelines cpt questions. This series is very important for the Certified Professional Coder (CPC) exam, and out of total 100 questions, six come from the evaluation and management. Let’s Start ENM series cpt questions.

The AAPC’s Certified Professional Coder (CPC) exam is currently the gold standard of coding certifications. Let’s take a look at this certification exam now.

Evaluation and Management (E/M) Series CPT Questions For CPC Exam

enm series cpt questions

Q.1.How does the CPT Professional Edition define a new patient?

(a) A new patient is one who has not received any professional services from the physician or another physician of the same specialty who belongs to the same group practice, within the past two years.

(b) A new patient is one who has not received any professional services from the physician or another physician of the same specialty who belongs to the same group practice, within the past three years.

(c) A new patient is one who has received professional services from the physician or another physician of the same specialty within the last two years for the same problem.

(d) A new patient is one who has received hospital services but has never been seen in the clinic by the reporting physician.

Q.2.James, a 35-year-old new patient, received 45 minutes of counselling and risk factor reduction intervention services from Dr. Kelly. Dr. Kelly talked to James about how to avoid sports injuries. Currently, James does not have any symptoms or injuries and wants to maintain this status would you report this? This was the only service rendered. How service?

(a) 99213

(b) 99203

(d) 99403

Q.3.Andrea, a 52-year-old patient, had a hysterectomy on Monday morning. That afternoon, after returning to her hospital room, she suffered a cardiac arrest. A cardiologist responded to the call and delivered one hour and 35 minutes of critical care. During this time the cardiologist ordered a single view chest x-ray and provided ventilation management. How should you report the cardiologist’s services?

(a) 99291, 99292

(b) 99291, 99292, 71010, 94002

(d) 99291, 99292, 99292-52

Q.4.Brandon was seen in Dr. Shaw’s office after falling off his bunk bed. Brandon’s mother reported that Brandon and his sister were jumping on the beds when she heard a “thud.” Brandon complained of knee pain and had trouble walking. Dr. Shaw ordered a knee x-ray that was done at the imaging centre across the street. The x-ray showed no fracture or dislocations. Dr. Shaw had seen Brandon for his school physical six months ago. Today, Dr. Shaw documented a decision making of low complexity. He also instructed Brandon’s mother that if Brandon had any additional pain or trouble walking, he should see an orthopaedic specialist. How should Dr. Shaw report her services from today’s visit?

(a) 99204

(b) 99394, 99213

(d) 99203

Q.5.Adam, a 48-year-old patient, presented to Dr. Crampon’s office with complaints of fever, malaise, chills, chest pain, and a severe cough. Dr. Crampon took a history, did an exam, and ordered a chest xray. After reviewing the x-ray, Dr. Crampon admitted Adam to the hospital for treatment of pneumonia. After his regular office hours, Dr. Crampon visited Adam in the hospital where he dictated a comprehensive history, comprehensive examination, and decision-making of moderate complexity. How would you report Dr. Crampon’s services?

(a) 99214

(b) 99222

(d) 99223, 99214-21

Q.6.Why are the following codes not reported with continuing intensive care services (99478– 99480): 36510, 36000, 43752, 51100, 94660, or 94375?

(a) These codes are deleted from the 2008 edition.

(b) These codes are included with continuing intensive care services.

(d) These codes are Category III Codes and should never be reported with Category I codes.

Q.7.A PCP refers a patient with a complaint of chronic worsening heartburn to Dr. Ray with no significant records. MDM is moderate complexity (1 chronic condition that is worsening). Dr. Ray spends 30 minutes total time including discussion with the patient, ordering tests and charting.

(a) 99204

(b) 99243

(d) 99203

Q.8.Dr. Jane admitted a 67-year-old woman to the coronary care unit for an acute myocardial infarction. The admission included a comprehensive history, comprehensive examination, and high complexity decision-making. Dr. Jane visited the patient on days two and three and documented (each day) an expanded problem focused examination and decision-making of moderate complexity. On day four, Dr. Jane moved the patient to the medical floor and documented a problem focused examination and straightforward decision-making. Day five, Dr. Jane discharged the patient to home. The discharge took over an hour. How would you report the services from day one to day five?

(a) 99213, 99232,99231, 99239 x 2

(b) 99221, 99222, 99223, 99238

(d) 99223, 99232, 99232, 99231, 99239

Q.9.Which code range would describe services for a critically ill patient who is 23 days old as a outpatient?

(a) 99291–99292

(b) 99293–99294

(d) None of the above

Q.10.Johnson, a 38-year-old established patient is being seen for management of his hypertension, diabetes, and weight control. On his last visit, he was told he had a diabetic foot ulcer and needed to be hospitalized for this condition. He decided to get a second opinion and went to see Dr. Myers. This was the first time Dr. Myers had seen Mr. Johnson. Dr. Myers documented decision-making of high complexity. He concurred with hospitalization for the foot ulcer and sent a report back to Mr. Johnson’s primary care doctor. How would you report Dr. Myers visit?

(a) 99245

(b) 99205

(d) 99255

Q.11.How does the CPT Professional Edition define an emergency department?

(a) An organized hospital-based facility for the provision of unscheduled episodic services to patients who present for immediate medical attention. The facility must be available 24 hours a day.

(b) An organized hospital-based facility for the provision of scheduled episodic services to patients who present for immediate medical attention. The facility must be available 24 hours a day.

(c) An organized hospital-based facility for the care and treatment of chronically ill patients who present for services. The facility must be available on weekends and holidays.

(d) An organized outpatient-based facility for the care and treatment of unscheduled patient who present for immediate medical attention. The facility must be available 24 hours a day.

Q.12.Lucus, a three-year-old new patient is seen for a well-child examination. The doctor documents an age-appropriate history, examination, anticipatory guidelines, risk factor reduction intervention, and indicates Lucus’ immunizations are up to date. How would you report this service?

(a) 99392

(b) 99213-25, 99385

(d) 99382

Q.13.80-year-old patient is returning to the gynaecologist’s office for pessory cleaning. Patient offers no complaints. The nurse removes and cleans the pessory, vagina is swabbed with betadine, and pessory replaced. For F/U in 4 months. What CPT® and ICD-10 should be used for this service?

(a) 99201, Z97.5

(b) 99211, Z44.8

(d) 99212, Z46.89

Q.14.Patient was in the ER complaining of constipation with nausea and vomiting when taking Zovirax for his herpes zoster and Percocet for pain. His primary care physician came to the ER and admitted him to the hospital for intravenous therapy and management of this problem. His physician documented a detailed history, comprehensive examination and a medical decision making of moderate complexity. Which E/M service is reported?

(a) 99285

(b) 99284

(d) 99222

Q.15.20-day-old infant was seen in the ER by the neonatologist admitting the baby to NICU for cyanosis and rapid breathing. The neonatologist performed intubation, ventilation management and a complete echocardiogram in the NICU and provided a report for the echocardiography which did indicate congenital heart disease. Select the correct code(s) for the physician service.

(a) 99468-25, 93303-26

(b) 99471-25, 31500, 94002, 93303

(d) 99291-25, 93303

Q.16.A 12-year-old female is brought by her mother for a follow-up of known complex partial seizure disorder on carbamazepine.

Pre-Visit: Reviewed prior clinic notes [2 MINS]

Visit: Performed medically appropriate history and exam. No recent reported seizures since carbamazepine was initiated. No signs of toxicity on exam. She and family are counselled about her diagnosis of epilepsy, seizure precautions. [20 MINS] Post-Visit: Document encounter (3 MINS)

(a) 99213

(b) 99203

(d) 99204

Q.17.A patient was admitted yesterday to the hospital for possible gallstones. The following day the physician who admitted the patient performed a detailed history, a detailed exam and a medical decision making of low complexity. The physician tells her the test results have come back positive for gallstones and is recommending having a cholecystectomy. What code should be reported for this evaluation and management service?

(a) 99253

(b) 99221

(d) 99234

Q.18.A patient came in to the ER with wheezing and a rapid heart rate. The ER physician documents a comprehensive history, comprehensive exam and medical decision of moderate complexity. The patient has been given three nebulizer treatments. The ER physician has decided to admit him in hospital inpatient for the acute asthma exacerbation. The ER physician will continue examining the patient and will order additional treatments until the wheezing subsides. Select the appropriate code(s) for this visit.

(a) 99284, 99219

(b) 99222, 99284-25

(d) 99222

Q.19.Patient is here to follow up on her atrial fibrillation. Her primary care physician is not in the office. She will be seen by the partner physician that is also in the same practice. No new problems. Blood pressure is 110/64. Pulse is regular at 72. Temp is 98.6F Chest is clear. Cardiac normal sinus rhythm. Medical making decision is straightforward. Diagnosis: Atrial fibrillation, currently stable. What CPT® code is reported for this service?

(a) 99201

(b) 99202

(d) 99213

Q.20.A Medicare Patient was in the ER complaining of constipation with nausea and vomiting when taking Zovirax for his herpes zoster and Percocet for pain. His primary care physician came to the ER and admitted him to the hospital for intravenous therapy and management of this problem. His physician documented a detailed history, comprehensive examination and a medical decision making of moderate complexity. Which E/M service is reported?

(a) 99285

(b) 99221, 99282-25

(d) 99222

Q.21.A 20 year old male was biking and collided into another biker. He fell off his bike onto the cement. He presents to the ED with several minor lacerations on his arms and legs, but no other complaints of pain. The nurse examines the lacerations and determines that simple wound care is warranted, and this patient does not require an examination by the physician. What code should be used?

(a) 99211

(b) 99282

(d) 99283

Q.22. 2-year-old is coming in with his mom to see the pediatrician for fever, sore throat, and pulling of the ears. A limited exam was performed on the ears, nose and throat and respiratory systems. A strep culture was taken and came back positive. A diagnosis was also made of the infant having acute otitis media with effusion. The medical decision making was of moderate complexity with the giving of a prescription. What CPT® and ICD-10-CM codes should be reported?

(a) 99204, R07.0, H65. 92

(b) 99213, J02.0, H65. 91

(d) 99214, J02.0, H65. 199

Q.23.42-year-old woman is being discharged today, 2/5/XX. She was admitted to the hospital 2/2/XX for acute diverticulitis. Refer to dictated notes for a detailed description of the history, exam, and assessment and treatment protocol. Patient was also seen in consultation by Dr Z. She was placed on intravenous antibiotics and has made slow steady progress. Today has no abdominal pain. Labs are normal and CT of the abdomen and pelvis showed changes consistent with diverticulitis in the left side of colon. She was given follow up instructions of her medications, what diet to have and to follow up with PCP in 10 to 14 days or return if pain resumes. Total time spent with patient 40 minutes. What CPT® code(s) should be reported?

(a) 99233, 99239

(b) 99217

(d) 99239

Q.23.63-year-old man is coming in for a second opinion for his sleep apnea. He has had it for the past five months. Sleep is disrupted by frequent awakenings and getting worse due to anxiety and snoring.He feels tired all the time, has some joint stiffness and night sweats; all other systems were negative.He is going through a divorce which is causing him anxiety and had a hernia repair two month ago. Doctor orders labs and a sleep study test. Prescription was given to help with the anxiety. What CPT® code should be reported?

(a) 99203

(b) 99204

(d) 99214

Q.25.A 55-year-old established patient is coming in for a pre-op visit; he is getting a liver transplant due to cirrhosis. The physician performs High Level MDM. Patient agrees with his physician’s recommendations and the transplantation will take place as scheduled. After the evaluation, the patient expresses a number of concerns and questions for the prospective liver transplant. Physician spends an additional 30 minutes, excluding the time spent in doing the E/M service, in counselling and answering questions regarding the surgery and discussing possible outcomes. What CPT® codes should be reported?

(a) 99213, 99417

(b) 99214, 99417

(d) 99215, 99417×2

Q.26.Physician performs a medical review and documentation on an 83-year-old patient still hospitalized for confusion for the last two days. She is alert and oriented x 3 today. Reviewing her labs from yesterday, her BNP was elevated suspecting her confusion is due to congestive heart failure. An echocardiogram is ordered and treatment will be for congestive heart failure. Patient is not safe to return home. What CPT® code should be reported?

(a) 99231

(b) 99221

(d) 99232

Q.27.A plastic surgeon is called to the ED at the request of the emergency department physician to evaluate a patient that arrived with multiple facial fractures after being in an automobile accident for her opinion on the need for reconstructive surgery. The plastic surgeon arrives at the ED, obtains a history of present illness including an extended history of present illness; a system review, including constitutional, musculoskeletal, integumentary, neurologic, and EENMT; and the patient’s social history and past medical history. The plastic surgeon then performs a physical exam including respiratory, cardiovascular, and an extended examination of the skin and bony structures of the patient’s face. The plastic surgeon performs moderate medical decision making, including deciding the patient needs major surgery to repair the injuries. The plastic surgeon schedules the patient for surgery the next day and documents her full note with findings in the ED chart.

(a) 99284-57

(b) 99244

(d) 99221

Q.28.At the request of the mother’s obstetrician, the physician was called to attend the birth of an infant being delivered at 29 weeks gestation. During delivery, the neonate was pale and bradycardic. Suctioning and bag ventilation on this 1000 gram neonate was performed with 100 percent oxygen. Brachycardia worsened; endotracheal intubation was performed and insertion of an umbilical line for fluid resuscitation. Later this critically ill neonate was moved from the delivery room and admitted to the NICU with severe respiratory distress and continued hypotension. What are the appropriate procedure codes?

(a) 99465, 99468

(b) 99465, 99464, 99468-25, 31500, 36510-51

(d) 99465, 99468-25, 31500-59, 36510-59

Q.29.38-year-old female initial visit, just moved from out of state, has neck and back pain for the last year and is getting worse. Pain is exacerbated when she drives, bends, or changes positions, and moderately alleviated with ibuprofen. Positive for aches and weakness in her muscles and tingling and numbness of the arms and hands, as well as headaches. All other systems are reviewed and are negative. She has had a partial hysterectomy and is divorced. Her mother has a history of breast cancer. The physician performs an exam on the following systems: constitutional, eyes, ENT, respiratory, cardiovascular, gastrointestinal, musculoskeletal, and neurologic. X-rays of the cervical and lumbar spine were taken.

Will be sending her to get a MRI and to start physical therapy. Prescription was given for muscle relaxer. Select the appropriate CPT® code for this visit?

(a) 99203

(b) 99204

(d) 99244

Q.30.A four-year-old patient presents with pain in the left forearm following a fall from a chair. The injury occurred one hour ago. Her mom applied ice to the injury but it does not appear to help. The ED physician performs a four system ROS. The patient lives at home with both parents and attends pre-K classes. The patient has no known drug allergies. The ED physician performs an extended six system exam. An X-ray is ordered, which shows a fracture of the distal end of the radius as read by the radiologist. The ED physician performs moderate conscious sedation with ketamine for 30 minutes. The fracture is reduced and cast applied by an orthopedic surgeon following consultation with the ED physician. The child was monitored with pulse oxymetry, cardiac monitor and frequent physician evaluation. The patient was discharged with a sling and requested to follow up with the orthopedic surgeon. Code the services performed by the ED physician.

(a) 99284, 99143

(b) 99284-25, 99155, 99157

(d) 99283

Q.31.Dr. X performs a follow-up consultation on certain tests that were not available in a nursing facility for a 75- year-old-male that was having chest pain. Today the patient is feeling better after a GI cocktail with Maalox and Xylocaine. The EKG showed an arrhythmia and the chest X-ray came back normal. Dr. X performs a problem focused history. He listens to the patient’s heart and lungs. Dr. X makes the recommendation of repeat cardiac enzymes and EKG and to have a GI evaluation. The PCP accepts the recommendations and implements the plan of care. What CPT® code should be reported for Dr. X?

(a) 99241

(b) 99232

(d) 99251

Q.32.Physician was called to the floor to evaluate a 94-year-old that had sudden weakness, hypotension, and diaphoresis. Physician found the patient in mild distress and dyspenic. Her BP 101/60, pulse 85. Her heart was positive for a systolic murmur. EKG came back with ST elevation V2-V6. Labs were still pending. She was admitted to CCU for Acute Antero-lateral MI and hypotension. Physician spent total critical care time of 48 minutes. Select the appropriate CPT® code for this visit:

(a) 99253

(b) 99233

(d) 99236

Q.33.A 48-year-old Medicare patient, presented to Dr. Crampon’s office with complaints of fever, malaise, chills, chest pain, and a severe cough. Dr. Crampon took a history, did an exam, and ordered a chest xray. After reviewing the x-ray, Dr. Crampon admitted Adam to the hospital for treatment of pneumonia. After his regular office hours, Dr. Crampon visited Adam in the hospital where he dictated a comprehensive history, comprehensive examination, and decision-making of moderate complexity. How would you report Dr. Crampon’s services?

(a) 99214

(b) 99222

(d) 99223, 99214-21

Q.34.A patient came in to the ER with wheezing and a rapid heart rate. The ER physician documents a comprehensive history, comprehensive exam and medical decision of moderate complexity. The patient has been given three nebulizer treatments. The ER physician has decided to place him in observation care for the acute asthma exacerbation. The ER physician will continue examining the patient and will order additional treatments until the wheezing subsides. Select the appropriate code(s) for this visit.

(a) 99284, 99219

(b) 99235

(d) 99235

enm series cpt questions

ANSWERS :–

1-B , 2-D , 3-A , 4- C, 5-C , 6-B , 7-A, 8-D, 9-A, 10-B ,

11-A , 12-D , 13-B , 14-C , 15- A, 16-A , 17-C , 18- B, 19-C , 20-D ,

21-A , 22-D, 23-D , 24-B , 25-D , 26-A , 27-C, 28-D 29- B, 30- B,

31-C, 32- C, 33-B , 34-B .

For Medical Coding : https://medicopediaa.com/list-of-modifiers-used-in-cpt/

CPT Guidlines Anesthsia : https://medicopediaa.com/anesthesia-cpt-guidelines/

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ENM Series CPT Questions

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