CHAPTER 20: MEDICINE EXAM | QUESTIONS WITH COMPLETE
SOLUTIONS | LATEST 2026 PDF UPDATE
A child was bitten by a dog that tested positive for rabies and is seen for an
injection of rabies immune globulin. Select the appropriate procedure codes for
this service.
A.90396, 96365
B.90375, 96372
C.90384, 96369
D.90389, 90471 - ANSWER-Answer: B. 90375, 96372 Rationale: Code for the
product and the administration of rabies immune globulin. In the CPT® Index,
see Immune Globulins/rabies, you are directed to 90375-90376. Because there is
no mention of heat-treated, 90375 is the appropriate code. Reading the
guidelines for immune globulins, a code from 96365-96372, 96374, or 96375 is
reported as appropriate for the administration. This is an injection, and 96372 is
the appropriate code. In the CPT® Index, look for Injection/
Intramuscular/Therapeutic.
A diabetic patient visited a neighborhood clinic to receive influenza and
pneumonia intramuscular immunizations. The patient received the influenza,
trivalent (IIV3) spilt virus 0.5mL and pneumococcal polysaccharide vaccine, 23-
valent (PPSV23). Select the appropriate procedure codes for this service.
A.90658, 90732, 90471, 90472
B.90660, 90732, 90472
C.90736, 90657, 90471, 90472
D.90660, 90732, 90471 - ANSWER-Answer: A. 90658, 90732, 90471, 90472
Rationale: The patient received two vaccines: influenza and pneumonia. Each is
,charged separately. In the CPT® Index, look for Vaccines and
Toxiods/Influenza/for Intramuscular Use. A review of the code choices indicates
90658 is the correct code. For the pneumonia vaccine look in the index for
Vaccines/and Toxoids/Pneumococcal/23-valent (PPSV23). Code 90471 describes
injection of one vaccine. The add-on code 90472 describes each additional
vaccine. Add-on codes (+) may not be reported independently but are a
composite of the basic code. In the CPT® Index look for
Administration/Immunization One Vaccine/Toxoid and
Administration/Immunization/Each Additional/Vaccine/Toxoid.
A 35-year-old patient plans to travel to a country with a high incidence of yellow
fever. The patient receives the yellow fever immunization. Select the
appropriate procedure codes for this service.
A.90717, 90471
B.90749, 90472
C.90717, 90460
D.90749, 90471 - ANSWER-Answer: A. 90717, 90471 Rationale: Code for both
the vaccine and the administration. Codes 90717 and 90471 describe the yellow
fever vaccine and the immunization administration for one vaccine. In the CPT®
Index look for Vaccines and Toxoids/Yellow Fever and
Administration/Immunization One Vaccine/Toxoid.
A patient is referred to a psychiatrist for management after displaying erratic
and unusual behavior at work. The patient discloses a difficult family situation.
The psychiatrist meets with the family and the patient for 50 minutes. What is
the correct code for the family psychotherapy session?
A.90849
B.90833
, C.90847
D.90853 - ANSWER-Answer: C. 90847 Rationale: A family therapy session with
patient present is reported with 90847. The payer may request documentation
of those present and areas of discussion. In the CPT® Index look for
Psychotherapy/Family of Patient. Code choice is based on with or without the
patient present, and time
A patient receiving psychotherapy is ready to begin mainstream efforts into the
community. The psychiatrist discusses the patient's mental health history with a
social agency that assists in locating employment and living arrangements. What
is the correct code for this service?
A.90887
B.90882
C.90889
D.90875 - ANSWER-Answer: B. 90882 Rationale: The services performed by the
psychotherapist include environmental interventions by communicating with
the social agency. In the CPT® Index locate Psychiatric Treatment/Environmental
Intervention. Code 90882 describes intervention on a psychiatric patient's behalf
with agencies, employers, or institutions.
A patient experienced a stressful personal event and meets with her psychiatrist
in his office for 45 minutes for the purpose of evaluating her potential to return
to work. Which CPT® code accurately reports the service.
A.90839
B.90845
C.90792
SOLUTIONS | LATEST 2026 PDF UPDATE
A child was bitten by a dog that tested positive for rabies and is seen for an
injection of rabies immune globulin. Select the appropriate procedure codes for
this service.
A.90396, 96365
B.90375, 96372
C.90384, 96369
D.90389, 90471 - ANSWER-Answer: B. 90375, 96372 Rationale: Code for the
product and the administration of rabies immune globulin. In the CPT® Index,
see Immune Globulins/rabies, you are directed to 90375-90376. Because there is
no mention of heat-treated, 90375 is the appropriate code. Reading the
guidelines for immune globulins, a code from 96365-96372, 96374, or 96375 is
reported as appropriate for the administration. This is an injection, and 96372 is
the appropriate code. In the CPT® Index, look for Injection/
Intramuscular/Therapeutic.
A diabetic patient visited a neighborhood clinic to receive influenza and
pneumonia intramuscular immunizations. The patient received the influenza,
trivalent (IIV3) spilt virus 0.5mL and pneumococcal polysaccharide vaccine, 23-
valent (PPSV23). Select the appropriate procedure codes for this service.
A.90658, 90732, 90471, 90472
B.90660, 90732, 90472
C.90736, 90657, 90471, 90472
D.90660, 90732, 90471 - ANSWER-Answer: A. 90658, 90732, 90471, 90472
Rationale: The patient received two vaccines: influenza and pneumonia. Each is
,charged separately. In the CPT® Index, look for Vaccines and
Toxiods/Influenza/for Intramuscular Use. A review of the code choices indicates
90658 is the correct code. For the pneumonia vaccine look in the index for
Vaccines/and Toxoids/Pneumococcal/23-valent (PPSV23). Code 90471 describes
injection of one vaccine. The add-on code 90472 describes each additional
vaccine. Add-on codes (+) may not be reported independently but are a
composite of the basic code. In the CPT® Index look for
Administration/Immunization One Vaccine/Toxoid and
Administration/Immunization/Each Additional/Vaccine/Toxoid.
A 35-year-old patient plans to travel to a country with a high incidence of yellow
fever. The patient receives the yellow fever immunization. Select the
appropriate procedure codes for this service.
A.90717, 90471
B.90749, 90472
C.90717, 90460
D.90749, 90471 - ANSWER-Answer: A. 90717, 90471 Rationale: Code for both
the vaccine and the administration. Codes 90717 and 90471 describe the yellow
fever vaccine and the immunization administration for one vaccine. In the CPT®
Index look for Vaccines and Toxoids/Yellow Fever and
Administration/Immunization One Vaccine/Toxoid.
A patient is referred to a psychiatrist for management after displaying erratic
and unusual behavior at work. The patient discloses a difficult family situation.
The psychiatrist meets with the family and the patient for 50 minutes. What is
the correct code for the family psychotherapy session?
A.90849
B.90833
, C.90847
D.90853 - ANSWER-Answer: C. 90847 Rationale: A family therapy session with
patient present is reported with 90847. The payer may request documentation
of those present and areas of discussion. In the CPT® Index look for
Psychotherapy/Family of Patient. Code choice is based on with or without the
patient present, and time
A patient receiving psychotherapy is ready to begin mainstream efforts into the
community. The psychiatrist discusses the patient's mental health history with a
social agency that assists in locating employment and living arrangements. What
is the correct code for this service?
A.90887
B.90882
C.90889
D.90875 - ANSWER-Answer: B. 90882 Rationale: The services performed by the
psychotherapist include environmental interventions by communicating with
the social agency. In the CPT® Index locate Psychiatric Treatment/Environmental
Intervention. Code 90882 describes intervention on a psychiatric patient's behalf
with agencies, employers, or institutions.
A patient experienced a stressful personal event and meets with her psychiatrist
in his office for 45 minutes for the purpose of evaluating her potential to return
to work. Which CPT® code accurately reports the service.
A.90839
B.90845
C.90792
