CPC- Evaluation and Management Questions| 2025/2026

CPC- Evaluation and Management Questions| 2025/2026 A 33-year-old male patient, admitted to the hospital on 12/17/XX following a motor vehicle accident, underwent a splenectomy. He was discharged on 12/20/XX. During his stay, he experienced pain and shortness of breath, but after receiving Levaquin, his condition improved. The physician reviewed his chest X-ray, which showed possible infiltrates, and a CT scan that ruled out an abscess. He was prescribed Zosyn and advised to follow up with his PCP or return to the hospital for any pain or bleeding. The physician spent 20 minutes with the patient. Which CPT® code is appropriate for this discharge visit? A. 99283 B. 99221 C. 99231 D. 99238 A physician was called to manage a 56-year-old patient admitted the day before with aspiration pneumonia and COPD. The documentation shows an expanded problem-focused history, no chest pain, but continued shortness of breath and swelling in the lower extremities. Tachypnea was noted the previous day. A problem-focused exam showed coarse crackles in both lung bases, worse on the right. The physician continued IV antibiotics and respiratory support, reviewed chest X-rays and lab results. The patient was improving and a pulmonary consultation was ordered. What CPT® code should be reported? 2 A. 99221 B. 99231 C. 99218 D. 99232 An established patient comes to the office with a recurrence of bursitis in both shoulders for a scheduled injection. The exam was limited to the shoulder with full range of motion but tenderness in the subdeltoid bursa. Both shoulders were injected with 120mg Depo-Medrol. What CPT® code should be reported for this visit? A. 99212-25, 20610-50 B. 20610-50 C. 99212-25, 20611-50 D. 20611-50 A 75-year-old established patient is brought in by his son for a physical screening to enroll in a group home. The patient has no new complaints, but has established diagnoses of cerebral palsy and Type 2 diabetes. A comprehensive history and exam was performed, along with moderate MDM. Blood work, PPD, and flu vaccine were administered. What CPT® code should be used for this preventive service? A. 99397 3 B. 99387 C. 99212 D. 99213 A 90-year-old patient was admitted to the observation unit yesterday for chest pressure and difficulty breathing. The following day, the ER physician reviews the patient's lab results and echocardiogram, all of which are normal. MI protocol was ruled out. The patient is pain-free and vital signs are stable. The patient is discharged and advised to follow up with a cardiologist. What CPT® code is appropriate for this discharge visit? A. 99283 B. 99217 C. 99233 D. 99238 An 80-year-old patient returns to the gynecologist for pessary cleaning. The patient reports no new complaints. The nurse removes and cleans the pessary, swabs the vagina with betadine, and replaces the pessary. A follow-up is scheduled in 4 months. What CPT® and ICD-10-CM codes should be reported? A. 99202, Z46.89 B. 99211, Z46.89 C. 99202, Z46.9 4 D. 99212, Z46.9 Patient was in the ER complaining of constipation with nausea and vomiting when taking Zovirax for his herpes zoster and Percocet for pain. His primary care physician came to the ER and admitted him to the hospital for intravenous therapy and management of this problem. His physician documented a detailed history, comprehensive examination and a medical decision making of moderate complexity. Which E/M service is reported? A. 99285 B. 99284 C. 99221 D. 99222 According to CPT® guidelines: When the patient is admitted to th