QUESTION: 261

According to CPT, in which of the following cases would an established E/M code be used?

A home visit with a 45-year-old male with a long history of drug abuse and alcoholism.
The man is seen at the request of Adult Protective Services for an assessment of his mental capabilities.
John and his family have just moved to town. John has asthma and requires medication to control the problem. He has an appointment with Dr. You and will bring his records from his previous physician.
Tom is seen by Dr. X for a score throat. Dr. X is on-call for Tom's regular physician, Dr.
The last time that Tom saw Dr. Y was a couple of years ago.
A 78-year-old female with weight loss and progressive agitation over the past 2 months is seen by her primary care physician for drug therapy. She has not seen her primary care physician in 4 years.

Answer(s): C

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QUESTION: 262

In order to use the inpatient CPT consultation codes, the consulting physician must

order diagnostic tests.
document his findings in the patient's medical record.
communicate orally his opinion to the attending physician.
use the term "referral" in his report.

Answer(s): B

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The attending physician requests a consultation from a cardiologist. The cardiologist takes a detailed history, performs a detailed examination, and utilizes moderate medical decision making. The cardiologist orders diagnostic tests and prescribe medication. He documents his findings in the patient's medical record and communicates in writing with the attending physician. The following day the consultant visits the patient to evaluate the patient' sresponse to the medication, to review results from the diagnostic test, and to discuss treatment options. What codes should the consultant report for the two visits?