NR 605 Midterm Exam Guaranteed pass
(Diagnosis management in psychiatric)
questions with verified correct detailed
answers latest update 2025
Illness Perception --- correct answers ---psychodynamic approach
-attributes mental illness to environmental and psychosocial problems
biophysiological model
-attributes mental illnesses to chemical imbalances of
neurotransmitters
epigenetics --- correct answers ---the study of how the environment
and other factors change the way genes are expressed
Documentation requirements --- correct answers ----standard format
of chief complaint, history of present illness, review of systems, past
psychiatric history, mental status exam, diagnostic formulation, and
treatment plan
-Psychotherapy sessions must include the following:
• target symptoms
,• goals of therapy
• method of monitoring outcomes
• frequency of treatment
• clinical records to support relevant medical history
• results of diagnostic tests or
• procedures
• prognosis or progress to date
• estimated duration of treatment
Reimbursement --- correct answers ---Clinical procedural terminology
(CPT) codes
-standardized codes used to communicate services completed to
Medicare and other insurance companies for reimbursement
-PMHNPs can bill for stand-alone psychotherapy using psychiatry
specialty codes
• if the encounter includes diagnosing and/or prescribing medications,
a medical evaluation and management (E/M) base code should be used
with an add-on psychotherapy procedure code
Medical Evaluation and Management Codes --- correct answers ---
specific five-digit E/M code
,-based on the type of client, location of service, and level of service
XX=20 new client office/inpatient visit
XX=21 established client office/outpatient visit
XX=24 consultation for office/outpatient
XX=22 inpatient care
Medical Decision Making --- correct answers ---level of medical-
decision-making (MDM) is rated as straightforward, low, moderate, or
high
-based on three components:
• number of diagnoses
• amount of data being reviewed
• risk of mortality/morbidity
-The level of MDM is selected based on complexity
Psychotherapy Codes --- correct answers ---• 90832- psychotherapy
duration 16-37 minutes
• 90833- psychotherapy duration 16-37 minutes used as an add on
code to a E/M code
• 90834- psychotherapy 38-52 minutes
, • 90836- psychotherapy duration 38 or more minutes used as an add
on code to a E/M code
• 90837- psychotherapy 53 or more minutes
• 90846- family psychotherapy client not present
• 90847- family psychotherapy with client present
• 90853- group psychotherapy
Lori, a 42-year-old female, presents to the office for an initial
consultation. She has just experienced a breakup after a 5-year
relationship and is feeling "depressed." A comprehensive initial
evaluation which includes chief complaint, history or present illness,
medical history, previous psychiatric history, family history and a
comprehensive review of systems was completed. Psychotherapy was
included in the session - 18 minutes time.
provide the appropriate CPT code --- correct answers ---99205+90833
Rationale: The client is new to the practice (20) and presents with
one problem which addressed 4 or more elements, had a
comprehensive history and interview. No additional testing was
needed, treatment was initiated (05). Psychotherapy was included in
the session- 18 minutes time. Therapy goals were established and
reviewed with the client.
(Diagnosis management in psychiatric)
questions with verified correct detailed
answers latest update 2025
Illness Perception --- correct answers ---psychodynamic approach
-attributes mental illness to environmental and psychosocial problems
biophysiological model
-attributes mental illnesses to chemical imbalances of
neurotransmitters
epigenetics --- correct answers ---the study of how the environment
and other factors change the way genes are expressed
Documentation requirements --- correct answers ----standard format
of chief complaint, history of present illness, review of systems, past
psychiatric history, mental status exam, diagnostic formulation, and
treatment plan
-Psychotherapy sessions must include the following:
• target symptoms
,• goals of therapy
• method of monitoring outcomes
• frequency of treatment
• clinical records to support relevant medical history
• results of diagnostic tests or
• procedures
• prognosis or progress to date
• estimated duration of treatment
Reimbursement --- correct answers ---Clinical procedural terminology
(CPT) codes
-standardized codes used to communicate services completed to
Medicare and other insurance companies for reimbursement
-PMHNPs can bill for stand-alone psychotherapy using psychiatry
specialty codes
• if the encounter includes diagnosing and/or prescribing medications,
a medical evaluation and management (E/M) base code should be used
with an add-on psychotherapy procedure code
Medical Evaluation and Management Codes --- correct answers ---
specific five-digit E/M code
,-based on the type of client, location of service, and level of service
XX=20 new client office/inpatient visit
XX=21 established client office/outpatient visit
XX=24 consultation for office/outpatient
XX=22 inpatient care
Medical Decision Making --- correct answers ---level of medical-
decision-making (MDM) is rated as straightforward, low, moderate, or
high
-based on three components:
• number of diagnoses
• amount of data being reviewed
• risk of mortality/morbidity
-The level of MDM is selected based on complexity
Psychotherapy Codes --- correct answers ---• 90832- psychotherapy
duration 16-37 minutes
• 90833- psychotherapy duration 16-37 minutes used as an add on
code to a E/M code
• 90834- psychotherapy 38-52 minutes
, • 90836- psychotherapy duration 38 or more minutes used as an add
on code to a E/M code
• 90837- psychotherapy 53 or more minutes
• 90846- family psychotherapy client not present
• 90847- family psychotherapy with client present
• 90853- group psychotherapy
Lori, a 42-year-old female, presents to the office for an initial
consultation. She has just experienced a breakup after a 5-year
relationship and is feeling "depressed." A comprehensive initial
evaluation which includes chief complaint, history or present illness,
medical history, previous psychiatric history, family history and a
comprehensive review of systems was completed. Psychotherapy was
included in the session - 18 minutes time.
provide the appropriate CPT code --- correct answers ---99205+90833
Rationale: The client is new to the practice (20) and presents with
one problem which addressed 4 or more elements, had a
comprehensive history and interview. No additional testing was
needed, treatment was initiated (05). Psychotherapy was included in
the session- 18 minutes time. Therapy goals were established and
reviewed with the client.
