vendredi 5 juin 2015

Today's CPC Sample Question ERROR?

Hi there - I just joined AAPC this week & finished a coding course. I'm a little disappointed to find that the very first sample question on this site appears to have a big fat ERROR in it. Admittedly, I'm using a 2013 CPT manual at the moment, so this might be the problem, but I rather doubt it. Here's the question:

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"A patient presents to the physician?s office for the first time with nausea and vomiting. The physician performs an extended HPI, an extended ROS, and complete PFSH. Also supported by documentation is an eight organ system exam and moderate medical decision making. Physician assesses the patient with acute gastritis. What are the appropriate E/M and ICD-9-CM codes for this service?"

Select a correct answer below
a. 99205, 535.00, 787.01
b. 99203, 535.00
c. 99202, 787.01
d. 99204, 535.00, 787.01

Rationale: The provider documented an extended HPI, extended ROS and complete PFSH which supports a detailed history. An eight organ system exam supports a comprehensive exam. The medical decision making is moderate. This is a new patient with a detailed history, comprehensive exam and moderate medical decision making which supports 99203. The patient is diagnosed with gastritis. When a definitive diagnosis is determined, do not report the associated signs and symptoms. In the Index of Diseases look up Gastritis, acute. There is no mention of a hemorrhage.
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I quickly chose answer D because according to my CPT manual, 99204 is the ONLY new patient option with "moderate" complexity listed. No need to go further. Is it different in the 2014 or 2015? Thanks.



Today's CPC Sample Question ERROR?

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