CPT Coding Professional Review Guide Exam 2024 -2025 [Evaluation and Management] Patient is admitted to the hospital with acute abdominal pain. The attending medical physician requests a surgical consult. The consultant agrees to see the patient and conducts a comprehensive history and physical examination. To rule out pancreatitis, the physician orders lab work, along with an ultrasound of the gallbladder and an abdominal x-ray. Due to the various diagnosis possibilities and the tests reviewed, a moderate medical decision was made. A. 99244 B. 99222 C. 99254 D. 99204 - ANSWER C. 99254 An established patient returns to the physician's office for follow-up on his hypertension and diabetes. The physician takes the blood pressure and references the patient's last three glucose tests. The patient is still running above-normal glucose levels, so the physician decides to adjust the patient's insulin. An expanded history was taken and a physical examination was performed. A. 99213 B. 99232 C. 99202 D. 99214 - ANSWER A. 99213 Patient arrives in the emergency room via a medical helicopter. The patient has sustained multiple life-threatening injuries due to a multiple car accident. The patient goes into cardiac arrest 10 minutes after arrival. An hour and 30 minutes of critical care time is spent trying to stabilize the patient. Code only critical care. A. 99285, 99288, 99291 B. 99291, 99292 C. 99291, 99292, 99285 D. 99282 - ANSWER B. 99291, 99292 The physician provided services to a new patient who was in a rest home for an ulcerative sore on the hip. A problem-focused history and physical examination were performed and a straightforward medical decision was made. A. 99304 B. 99325 C. 99324 D. 99334 - ANSWER C. 99324 A doctor provides critical care services in the emergency department for a patient in respiratory failure. He initiates ventilator management and spends an hour and 10 minutes providing critical care for this patient- Code only critical care. A. 99281, 99291, 99292, 94002 B. 99291, 99292, 94002 C. 99291, 94002 D. 99291 - ANSWER D. 99291 Services were provided to a patient in the emergency room after the patient twisted her ankle stepping down from a curb. The emergency room physician ordered x-rays of the ankle, which. came back negative for a fracture. A problem-focused history and physical examination were performed and ankle strapping was applied. A prescription for pain was given to the patient. Code the emergency room visit only: A. 99201 B. 99282 C. 99281 D. 99211 - ANSWER C. 99281 An established patient was seen in her primary physician's office. The patient fell at home and came to the physician's office for an examination. Due to a possible concussion, the patient was sent to the hospital to be admitted as an observation patient. A detailed history and physical examination were performed and the medical decision was low complexity, patient stayed overnight and was discharged the next afternoon. A. 99214,99234 B. 99214,99218,99217 C. 99218 D. 99218,99217 - ANSWER D. 99218,99217 An out- of-town patient presents to a walk-in clinic to have a prescription refilled for a nonsteroidal anti-inflammatory drug. The physician performs a problem-focused history and physical examination with a straightforward decision A. 99211 B. 99201 C. 99212 D. 99202 - ANSWER B. 99201 An office consultation is performed for a postmenopausal woman who is complaining of spotting in the past 6 months with right lower-quadrant tenderness. A detailed history and physical examination were performed with a low-complexity medical decision. A. 99242 B. 99243 C. 99253 D. 99254 - ANSWER B. 99243 [Anesthesia] Code anesthesia for upper abdominal ventral hernia repair. A. 00832 B. 00750 C. 00752 D. 00830 - ANSWER C. 00752 Code anesthesia for total hip replacement. A. 01210 B. 01402 C. 01230 D. 01214 - ANSWER D. 01214 Code anesthesia for vaginal hysterectomy. A. 00846 B. 00944 C. 30840 D. 01963 - ANSWER B. 00944
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