2021 CPC Exam Study - Evaluation and
Management Coding
99285 - Answer-ED visit with expanded problem-focused history and exam, limited by patient's medical
condition and high MDM performed. What level would be assigned?
99291, 99292 × 2 - Answer-Patient in ED has critical care services provided for a total of 1 hour 45
minutes. What E/M code(s) would be assigned?
99291, 99292 × 2 - Answer-Critical care provided for a critically ill patient with 2 hours documented.
99282 - Answer-ED visit, detailed history, detailed exam, low MDM
99468 - Answer-Neonatologist called to attend birth of 29-week gestation. Endotracheal intubation was
performed and umbilical catheterization for insertion for fluids. The critically ill neonate was moved to
, NICU. A total of 45 minutes was spent attending to this critically ill infant. What services would be coded
for the neonatologist?
99455 - Answer-Work disability evaluation performed by family physician. What E/M services would be
appropriate?
99212 - Answer-A 21-year-old patient seen in follow-up for otitis media after 10 days of antibiotic
treatment. No complaints. ENT clear. Resolved otitis media. MDM was stated as straightforward.
99204 - Answer-New patient outpatient visit, detailed Hx, expanded problem-focused exam, MDM
moderate.
99234 - Answer-Patient admitted/discharged from inpatient facility same day. Detailed history and
exam and moderate MDM performed.
99221 - Answer-Patient presents for admission with dehydration and uncontrolled diabetes. Detailed
history and exam performed and moderate MDM.
99221 - Answer-Patient presents to ER with complaints of nausea and vomiting. He is seen and
admitted. A detailed history, comprehensive examination, and moderate MDM are performed.
99232 - Answer-Subsequent hospital visit for uncontrolled diabetes. BS still indicate diabetes not
adequately controlled. Expanded problem-focused history and exam performed and low MDM.
99304 - Answer-Admission of patient to skilled nursing facility involving comprehensive history, detailed
exam, and moderate MDM
99468-25, 93304-26 - Answer-A 10-day-old infant is seen in the ED in respiratory distress. He is
admitted and intubated with ventilation management. An echocardiogram was performed and read by
the physician as congenital heart disease. What are the appropriate codes for the physician?
Management Coding
99285 - Answer-ED visit with expanded problem-focused history and exam, limited by patient's medical
condition and high MDM performed. What level would be assigned?
99291, 99292 × 2 - Answer-Patient in ED has critical care services provided for a total of 1 hour 45
minutes. What E/M code(s) would be assigned?
99291, 99292 × 2 - Answer-Critical care provided for a critically ill patient with 2 hours documented.
99282 - Answer-ED visit, detailed history, detailed exam, low MDM
99468 - Answer-Neonatologist called to attend birth of 29-week gestation. Endotracheal intubation was
performed and umbilical catheterization for insertion for fluids. The critically ill neonate was moved to
, NICU. A total of 45 minutes was spent attending to this critically ill infant. What services would be coded
for the neonatologist?
99455 - Answer-Work disability evaluation performed by family physician. What E/M services would be
appropriate?
99212 - Answer-A 21-year-old patient seen in follow-up for otitis media after 10 days of antibiotic
treatment. No complaints. ENT clear. Resolved otitis media. MDM was stated as straightforward.
99204 - Answer-New patient outpatient visit, detailed Hx, expanded problem-focused exam, MDM
moderate.
99234 - Answer-Patient admitted/discharged from inpatient facility same day. Detailed history and
exam and moderate MDM performed.
99221 - Answer-Patient presents for admission with dehydration and uncontrolled diabetes. Detailed
history and exam performed and moderate MDM.
99221 - Answer-Patient presents to ER with complaints of nausea and vomiting. He is seen and
admitted. A detailed history, comprehensive examination, and moderate MDM are performed.
99232 - Answer-Subsequent hospital visit for uncontrolled diabetes. BS still indicate diabetes not
adequately controlled. Expanded problem-focused history and exam performed and low MDM.
99304 - Answer-Admission of patient to skilled nursing facility involving comprehensive history, detailed
exam, and moderate MDM
99468-25, 93304-26 - Answer-A 10-day-old infant is seen in the ED in respiratory distress. He is
admitted and intubated with ventilation management. An echocardiogram was performed and read by
the physician as congenital heart disease. What are the appropriate codes for the physician?
