Question

question 7

fred is fishing at the local area lake while on vacation. he gets lightheaded and dizzy and goes to the local hospital emergency department, evaluated by the ed provider. this is the first time he has been to this hospital. what subsection is used to report the ed visit?

office or other outpatient services; new patient
office or other outpatient consultations
initial hospital care
emergency department services

Explanation:

Identify the clinical setting and service location

The patient (Fred) goes to the local hospital Emergency Department (ED) and is evaluated by the ED provider.

Determine the appropriate CPT Evaluation and Management (E/M) subsection

Evaluation and Management services provided in an emergency department must be reported using the "Emergency Department Services" subsection of the CPT codebook. Unlike office visits, emergency department codes do not distinguish between new and established patients.

Match with the given multiple-choice options

The option "Emergency Department Services" directly matches the CPT E/M subsection used to report services provided in an emergency department.

Answer:

• (A) Office or Other Outpatient Services; New Patient
• (B) Office or Other Outpatient Consultations
• (C) Initial Hospital Care
• (D) Emergency Department Services (Correct answer)