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The Potential and Appropriate Use of Evaluation and Management Coding Systems in Audiology

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1.  Which evaluation and management code, from its description, does not require physician participation in the visit? 99201 99202 99203 99211

2.  Why should audiologists avoid the use of evaluation and management codes 99204-99205 and 99214-99215? These are surgical codes These are consultation codes Due to the high risk of morbidity and mortality related to these codes These are codes for inpatient services

3.  What code do you use to bill for hearing aid follow-up visits? 92592/3 99201 99211 99212

4.  An established patient is defined as a patient who: Has never been seen by your practice Was seen by your practice as an inpatient only They have been seen by you or another audiologist in your practice within the last three years They have not been seen by your practice within the past six years or more

5.  The most important components in selecting the appropriate evaluation and management code: Type of case history and the complexity of the medical decision making Time spent Results of the evaluation Reason for referral

6.  Per the CPT Manual, who can utilize Evaluation and Management codes: Physicians only Any health care provider Qualified health professionals who are authorized to perform such services within the scope of their practice Any licensed health care provider

7.  How many body systems must be reviewed if completing a comprehensive patient history? 4 8 10 14

8.  Social history includes: Alcohol use Drug use Sexual orientation All of the above

9.  Evaluation and Management Codes, if used by audiologists, should only be used: In hospital or otolaryngology clinics For diagnostic evaluation visits For hearing aid follow-up visits For claims being billed and paid for by insurance only

10.  An extended illness is the same as a: Chronic illness Acute illness Documented illness New illness