Billing & Coding

Question 1

ICD 9 codes

Answer 1

classifies disease

3 digits followed by decimal with up to 2 digits

Question 2

E&M codes

Answer 2

Evaluation and management
Gets you paid
Supported by H&P and medical decision making

Question 3

CPT codes

Answer 3

Current procedural terminology
Gets you paid
Documentation must support code

Question 4

CPT codes 5th digit

Answer 4

indicates complexity
99201 low level of complexity
99205 high level of complexity

Question 5

CPT code for returning patients

Answer 5

4th digit is a 1
99211 returning low level complexity
99215 returning high level complexity

Question 6

CPT code for wellness visits

Answer 6

3rd and 4th digit is 38
5th digit is based on age
1 is young, 99381
6 is elderly, 99386

Question 7

ICD 9 code for wellness visit

Answer 7

V70.0 for well adult
V20.2 for well child
CPT code and ICD 9 code must match age group

Question 8

ICD 9 codes of E and V

Answer 8

E= external injuries
V= supplemental classification (family history)

Question 9

E&M code for new patient

Answer 9

99201, 99202, 99203, 99204, 9905
4th digit is zero
5th digit indicates complexity

Question 10

Returning patients

Answer 10

99211, 99212, 99213, 99214, 99215
4th digit is a 1
5th digit is complexity

Question 11

Most common E&M coding for subsequent visit

Answer 11

99232