Practice Quiz

Medical Coding

Category - Evaluation and Management

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A 10-year-old boy lacerated his chin while chasing his baby brother. He requires stitches. What would the evaluation and management CPT code be for this patient, who is being seen in the emergency department?
  1. 99281
  2. 99282
  3. 99283
  4. 99284
Explanation
Answer: A - 99281 is the correct code for an emergency department visit that requires a problem-focused history and examination as well as straightforward medical decision making.
While all of these codes are used for emergency department visits, 99282 is incorrect because this code requires expanded problem-focused history and examination as well as low-complexity medical decision making. Code 99283 is incorrect because this code requires an expanded problem-focused history and examination with moderate-complexity medical decision making. Code 99284 is incorrect because this code requires a detailed history and examination with moderate-complexity medical decision making.
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