2019 Table Rock Regional Roundup MOC II Self-Assessment

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* 1. Which of the following most accurately describes diabetic retinopathy?

High blood glucose causes the retina to detach and bleed.

The retina loses its circulation.

Chronic high blood glucose damages retinal capillaries, leading to fluid leakage, swelling, and growth of abnormal, new blood vessels.

High internal eye pressure damages the retina and optic nerve.

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* 2. What are the symptoms of diabetic retinopathy at the early stages?

Distortion

Floaters

Blurred vision

Asymptomatic

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* 3. Which of the following glaucoma surgical devices enhances outflow via the conventional outflow pathway?

ExPress minishunt

Hydrus microstent

Xen gel stent

Ahmed glaucoma valve

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* 4. Which of the following glaucoma surgical devices creates a bleb?

Hydrus microstent

IStent Inject

Xen gel stent

Kahook dual blade

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* 5. When called to the emergency department, which of the following statements is true?

Submit the appropriate level of E/M 992XX or Eye visit code 92XXX.

Submit the appropriate level of ED code 99281-99285

As you are not an ED physician you can’t report ED exam codes

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* 6. In order to submit Eye visit code 92004 or 92014 which of the following is a documentation requirement?

Dilation

9-12 elements of the exam and moderate decision making

12 elements of the exam and initiation of care

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* 7. Which of the following exam levels impacts the cost portion of MIPS?

99214

92012

92014

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* 8. A glaucoma specialist refers to a retina specialist within the same practice. The retina specialty due to unique taxonomy should submit which of the following?

Consultation code

New patient exam

Established patient exam

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* 9. A Medicare Part B patient presents for bilateral intravitreal injection. There are no new complaints. A brief exam is performed. Which of the following claim submissions is correct?

Submit 67028 -50 and a 1 in the unit field + drug

Submit the appropriate level of exam + 67028 -50 and a 1 in the unit field + drug

Submit the appropriate level of exam appended with modifier -25 + 67028 -50 and a 1 in the unit field + drug

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* 10. Patient is diagnosed with bilateral cataracts. The patient desires to proceed with surgery in the right eye. Exam and 92136 performed bilaterally are submitted with ICD-10 code H25.13. The exam is paid. The biometry is denied. Why?

Must be a flaw in the payer system. Appeal the denial

ICD-10 should reflect the eye having surgery. Resubmit with H25.11

Your CME certificate from the 2019 conference serves as proof of attendance. To claim the credit, each physician needs to log on to their ABO status page and attest to meeting their CME/SACME requirement.

For a complete list of answers follow this link: https://tinyurl.com/MOC-SACME