Sample: Certified Expert Professional Fee Generalist (CEPFG)

This is a 5 question sample exam.

Notice: CPT codes are copyright 2020 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

You are coding this office visit, which occured on 4/10/2021.

 

Patient: Jan Doe
Provider: Jane Smith, MD - Primary Care
Chief Complaint:  Abdominal Pain

This Medicare Part B patient lives in Virginia and is seen by me in our Virginia office location and was last seen 6 months ago.  Patient is a 65-year-old female, who comes in complaining of episodic pain in her right lower quadrant since Monday, with diarrhea off and on over the last week.  She has had a couple of episodes of vomiting and overall feeling nauseated.  She has tried over the counter medications for diarrhea Imodium and Pepto Bismol for stomach discomfort, nothing much helped. The pain has woken her up at night, and she complains of being tired all the time.  She denies fever, chills or sweats.  She further denies chest pain, sob, chest pain, urinary difficulties or blood in her stool.  She has a history of IBS and is due for a colonoscopy in 3 months.  She is a non-smoker, drinks 2 glasses of wine every two-three weeks and lives with her spouse of 17 years. BP 130/85, Weight 152, Temp 99.8. She is a well-nourished female in no apparent distress, appears comfortable.  Neck : Supple.  Thyroid:  normal, no nodules. Heart: regular rate and rhythm, no edema. Lungs: Clear. Abdomen: soft and non-tender, with normal bowel sounds, no masses or hepatosplenomegaly, no guarding or rebound. Skin: clear, no rashes or ulcers or tattoos.  UA: dip trace of glucose, trace of protein, all else neg.

1.  Right lower quadrant pain, unknown etiology
2. Diarrhea

Plan:  We will schedule her for an urgent abdominal US and CBC. Rule out bowel obstruction versus appendix. Spoke with GI MD from an outside GI Group and he feels Bowel obstruction is a possibility but suggests we await results of US before consult with General Surgeon. Patient instructed to go directly to ER if pain or symptoms worsen.  Will call patient today with results.

Electronically signed: Jane Smith, MD

You are coding in a Radiologist's office. 

DOS Jan 30, 21, 7 AM
Patient: Sue Smith
Reason: Back Pain in patient of advanced age
Ordered: XR Lumbo-sacral spine, complete (LS), ordered by Dr. Doe
Study: Complete (with bending views)= 1. AP, 2. frontal, 3. lateral, 4. bilateral oblique, 5. flexion and 6. extension views of the lumbosacral spine.

Findings/Impression: Five non-rib-bearing lumbar type vertebral bodies are demonstrated. Grade 1 anterolisthesis of L4 on L5 with severe degenerative disc disease with endplate sclerosis and anterior spurring at this level. No acute fracture or traumatic subluxation of the lumbar spine. No evidence of dynamic instability. No pars defect. Partially visualized left femoral acetabular total arthroplasty. Mild to moderate right femoral acetabular osteoarthritis.

I, Dr. Jones, have personally reviewed the above studies and provided the findings using the facility at Radiology Land Hospital.

What are the last 2 digits of the correct CPT® code for this diagnostic radiology service?

 

You code at a Physical Medicine and Rehabilitation practice.

A physical therapy procedure is provided by a skilled physical therapist after a physician provided an initial evaluation of an injured patient. Dynamic activities were used to improve functional performance. Exercises provided for the patient by the therapist were to increase the flexibility of the quadratus lumborum muscles while activating and strengthening the hamstring muscles to improve the patient’s capacity for walking AND standing. The therapist spent 16 minutes (one on one with the patient) on balance boards, fitness balls, and stretch bands to improve the patient's functional performance.

What are the last 3 digits of the correct CPT® code for the therapeutic activities?

You code for a psychiatrist.

A psychiatrist performs a psychiatric evaluation of the patient with the aim of making a diagnosis. She looked for symptoms of psychopathology in appearance, attitude, behavior, speech, stream of talk, emotional reactions, mood, content of thoughts, perceptions, and cognition.  Medical exam was provided. Diagnosis was made and a treatment plan was created.

What are the last 3 digits of the correct CPT® code for the psychiatric diagnostic evaluation ?

 

You work at a teaching hospital.

An emergency transtracheal tracheostomy is performed by a resident under the direction of a teaching physician.

What is the last 3 digits of the correct CPT® code?