On the second day of admission in the hospital, Dr. X performs a comprehensive physical examination on a patient with COPD with bronchitis who has begun to show signs of cyanosis in her lips and extremities, as well as chest pain. Dr. X documents 95 minutes of direct patient care, including review of current diagnostic imaging, laboratory results, and high medical decision regarding the chronic illness with severe progression. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99233 and 99356
B. 99233 and 99355
C. 99233 and 99354
D. 99233
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Q. 2) What is a chest compression?
A. The manual establishment of the functions of heart and lungs after a sudden cessation of normal cardiac or respiratory function
B. The manual application of pressure to the chest for the purpose of restoring heart function; most often associated with cardiopulmonary resuscitation
C. Five different assessments performed at the time of birth that determine the patient's blood flow, heart rate, respiratory function, and neurologic function
D. An abnormal opening that is surgically created to allow the release of feces from the body via an opening other than the anus
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Q. 3) The term critical care refers to what kind of E/M service?
A. The critical care provided by a team of healthcare professionals operating on a unit that is dedicated to the critical care of patients (intensive care)
B. Personalized, continuous care provided for one specific patient whose health has been abruptly damaged by an illness, injury, or disease that simultaneously poses a significant and definite threat to the patient's life
C. Services requiring a longer amount of time to perform than the intraservice time typically allows; may occur in an outpatient or an inpatient setting
D. Healthcare services provided to a newborn infant from birth up to 28 days of age
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Q. 4) The term prolonged services refers to what kind of E/M service?
A. An E/M service between a physician and an established patient that, unlike any other E/M service, may occur over the phone or via the Internet
B. A set of numeric codes representing E/M services that may be reported only in conjunction with a different E/M service and may never be listed independently
C. An E/M service code that can be used to report a performed service that no other service reflects, reports, or identifies
D. E/M services requiring a longer amount of time to perform than the intraservice time typically allows; may occur in an outpatient or an inpatient setting
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Q. 5) Which of the following BEST defines a newborn?
A. The term that identifies an unborn human young from the eight week of gestation up to birth
B. A pediatric patient from birth to 28 days of life
C. The term that identifies an unborn fetus within the uterus
D. A pediatric patient ranging in age from birth to approximately one year of age, or about the time the infant learns to walk
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Q. 6) Which of the following BEST defines positive pressure ventilation?
A. An NSAID used to reduce fever, pain, swelling, and stiffness; used in the treatment of various conditions, including rheumatoid arthritis and patent ductus arteriosus
B. A small, flexible, tubular instrument threaded into a large vein and inserted into one of the large chambers of the heart; used to deliver medication or nutrition to the central venous system
C. The process of forcing oxygenated air into the lungs through mechanical means
D. An antibacterial medication used in the treatment of respiratory infections, anthrax, intra-abdominal infections, and other high-risk diseases
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Q. 7) Which of the following BEST defines pediatric medicine?
A. Healthcare services provided to a newborn infant from birth up to 28 days of age
B. E/M services requiring a longer amount of time to perform than the intraservice time typically allows; may occur in an outpatient or an inpatient setting
C. E/M healthcare services provided in a delivery room is a designated room or area specially equipped to deal with the delivery and care of newborns
D. Any healthcare services provided to infants older than 29 days but younger than 71 months
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Q. 8) Which of the following BEST defines a broviac catheter?
A. A small, flexible, tubular instrument threaded into a large vein and inserted into one of the large chambers of the heart; used to deliver medication or nutrition to the central venous system
B. The process of forcing oxygenated air into the lungs through mechanical means
C. An NSAID used to reduce fever, pain, swelling, and stiffness; used in the treatment of various conditions, including rheumatoid arthritis and patent ductus arteriosus
D. An antibacterial medication used in the treatment of respiratory infections, anthrax, intra-abdominal infections, and other high-risk diseases
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Q. 9) Patient is admitted to the hospital for treatment a fall off a roof. Significant complex femoral and pelvic fractures, and punctured right lung and diaphragmatic rupture. 135 minutes of critical care is provided in order to stabilize patient and prepare for surgery. Which of the following reflects the MOST appropriate CPT code for this service?
A. 99291
B. 99291, + 99292
C. 99291, + 99292, + 99292
D. 99291, +99292, +99292, +99292
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Q. 10) What differentiates a general surgeon from any other clinician?
A. A physician specially trained to investigate and repair the internal structure and function of abdominal organs, as well as treating disease and injury through manual manipulation
B. Any healthcare services provided to infants older than 29 days but younger than 71 months
C. A physician specially trained to investigate and repair the internal structure and function of the organs of the chest, including, but not limited to, the lungs, heart, mediastinum, and pleura
D. A physician specializing in the health of the pulmonary, or respiratory, system, as well as the prevention and treatment of diseases related to the respiratory system
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