COBGC Evaluation and Management Coding

Question 1

What are the key components of E/M coding for OB/GYN visits?

Accepted Answer

History, examination, and medical decision-making complexity

Answer

Only the diagnosis

Answer

Only the time spent

Answer

Only the procedures performed

Question 2

How is time-based E/M coding used in OB/GYN?

Accepted Answer

When counseling or coordination of care dominates the visit, total time determines the code level

Answer

Time is never a factor

Answer

Only surgical time counts

Answer

Time-based coding is not allowed in OB/GYN

Question 3

What is the difference between new and established patient E/M codes?

Accepted Answer

New patients have not been seen by the practice within 3 years; established patients have

Answer

All patients are new

Answer

Only the first visit is a new patient visit

Answer

The distinction does not affect coding

Question 4

What documentation supports medical necessity for E/M services?

Accepted Answer

Chief complaint, history of present illness, review of systems, and clinical findings supporting the diagnosis

Answer

Only the diagnosis code

Answer

Only the patient's name

Answer

A brief note is sufficient

Question 5

How are preventive visit codes used in gynecology?

Accepted Answer

For annual well-woman exams including breast and pelvic examinations, separate from problem-oriented visits

Answer

They replace all other codes

Answer

Preventive codes are not used in gynecology

Answer

Only for patients under 40

Question 6

What is modifier 25 and when is it used?

Accepted Answer

A significant, separately identifiable E/M service on the same day as a procedure

Answer

A discount modifier

Answer

Used for follow-up visits only

Answer

Applied to all E/M codes automatically