CPT Coding Module 3 Exam Questions
Correctly Answered.
Subjective: This 17-year-old patient presents to the emergency department after racing motorcycles
earlier today. He had his helmet on as well as all of his racing gear. He actively races motorcycles and has
done this all summer long, winning a number of times. He came over a jump and lost control of the bike,
going over the handlebars. He denies hitting his head but landed on his left elbow and his left knee and
has had some discomfort in these areas since. He tells me that he was not going fast, approximately 30
mph. He denies any loss of consciousness. The main complaints center only on the left knee and the left
elbow.
Objective: The patient is in no acute distress, nontoxic appearing. During an expanded problem-focused
examination, he is alert and oriented.
Eyes: PERL, EOMI conjugate without nystagmus. Funduscopic exam reveals the discs to be sharp and the
TMs normal. Throat: clear with teeth intact. Neck: nonte - CORRECT ANSWER 99282
This patient is seen in the clinic at the request of Dr. Jones for evaluation of suprapubic pain. Patient is a
22-year-old black female G1 P0, LMP 12/20/xx, EDC 10/16/xx by 14-week ultrasound taken on 4/16/xx,
18 weeks with twin gestation. Presents with complaint of suprapubic sharp to mild pain with onset 2
months ago. Pain has become progressively worse. Patient has been seen by Dr. Jones for this
pregnancy and has also been seen by Dr. Smith for this current complaint 2 weeks ago. Patient denies
urgency and frequency of nocturia, denies hematuria, and denies discharge. Labs: CBC and urinalysis
performed. Allergies: none. Past medical history: genital wart 1986. Past surgical history: wart removed
by laser 1986. Social history: no smoking, illicit drugs, or alcohol.
PE: During an expanded problem-focused examination, the HEENT was found to be normal. FHT: A 148,
B 146. Heart: normal. Lungs: CTA. Abdomen: gravid 20 - CORRECT ANSWER 99242
This is a 79-year-old right-handed married female, who I am now hospitalizing for evaluation of
recurrent episodes of numbness and weakness of left upper extremity.
This patient relates to having two episodes occurring during the last week of June; both of these
occurred while she was eating breakfast around 7:30 AM. She developed sudden onset, without
warning, of complete paralysis as well as numbness of the left arm, which lasted for 10 to 15 minutes.
There was no speech impairment, no involvement of the face or leg, and no associated headache. These
symptoms completely returned to normal. She denies associated chest pain, shortness of breath, or
, tachycardia with these spells, and there was no jerking of the extremities. About 2 days later, she again
had a similar spell. She has not had any further episodes since that time.
Patient's history is significant for hypertension since age 35. She had no previous history - CORRECT
ANSWER 99222
This is a 15-year-old girl, never seen at this clinic. During a problem-focused history, she states that she
noticed a lump on the back of her right wrist yesterday.
P/E: There is a 2-cm freely movable, rubbery, round swelling on the dorsal surface of the right wrist.
Distal neurovascular and tendon exam intact. This is not painful to palpation. (The MDM was of
straightforward complexity.)
Impression: Ganglion cyst, right wrist.
Treatment: Refer to Dr. Andrews for further treatment.
CPT Code: ____________________ - CORRECT ANSWER 99201
A new patient presents to the physician's office at which time the physician provides a comprehensive
history and exam with a high complexity MDM.
CPT Code: ____________________ - CORRECT ANSWER 99205
An initial inpatient consultation with a detailed history, detailed exam and MDM of low complexity.
CPT Code: ____________________ - CORRECT ANSWER 99253
A 40-year-old established patient presents to the physician office for a preventive care exam.
CPT Code: ____________________ - CORRECT ANSWER 99396
History and exam of the normal newborn infant born in a hospital setting.
CPT Code: ___________________ - CORRECT ANSWER 99460
A 7-year-old female established patient presents to the pediatrician complaining of ear pain x 3 days. A
detailed history is then taken. She had associated fever of 101° F yesterday. Mom treated her with
Tylenol. The fever this AM is 99° F. She has had some chills and cough as well as some difficulty
breathing. No nausea or vomiting. No prior history of Otitis. Brother was sick earlier this week. The
Correctly Answered.
Subjective: This 17-year-old patient presents to the emergency department after racing motorcycles
earlier today. He had his helmet on as well as all of his racing gear. He actively races motorcycles and has
done this all summer long, winning a number of times. He came over a jump and lost control of the bike,
going over the handlebars. He denies hitting his head but landed on his left elbow and his left knee and
has had some discomfort in these areas since. He tells me that he was not going fast, approximately 30
mph. He denies any loss of consciousness. The main complaints center only on the left knee and the left
elbow.
Objective: The patient is in no acute distress, nontoxic appearing. During an expanded problem-focused
examination, he is alert and oriented.
Eyes: PERL, EOMI conjugate without nystagmus. Funduscopic exam reveals the discs to be sharp and the
TMs normal. Throat: clear with teeth intact. Neck: nonte - CORRECT ANSWER 99282
This patient is seen in the clinic at the request of Dr. Jones for evaluation of suprapubic pain. Patient is a
22-year-old black female G1 P0, LMP 12/20/xx, EDC 10/16/xx by 14-week ultrasound taken on 4/16/xx,
18 weeks with twin gestation. Presents with complaint of suprapubic sharp to mild pain with onset 2
months ago. Pain has become progressively worse. Patient has been seen by Dr. Jones for this
pregnancy and has also been seen by Dr. Smith for this current complaint 2 weeks ago. Patient denies
urgency and frequency of nocturia, denies hematuria, and denies discharge. Labs: CBC and urinalysis
performed. Allergies: none. Past medical history: genital wart 1986. Past surgical history: wart removed
by laser 1986. Social history: no smoking, illicit drugs, or alcohol.
PE: During an expanded problem-focused examination, the HEENT was found to be normal. FHT: A 148,
B 146. Heart: normal. Lungs: CTA. Abdomen: gravid 20 - CORRECT ANSWER 99242
This is a 79-year-old right-handed married female, who I am now hospitalizing for evaluation of
recurrent episodes of numbness and weakness of left upper extremity.
This patient relates to having two episodes occurring during the last week of June; both of these
occurred while she was eating breakfast around 7:30 AM. She developed sudden onset, without
warning, of complete paralysis as well as numbness of the left arm, which lasted for 10 to 15 minutes.
There was no speech impairment, no involvement of the face or leg, and no associated headache. These
symptoms completely returned to normal. She denies associated chest pain, shortness of breath, or
, tachycardia with these spells, and there was no jerking of the extremities. About 2 days later, she again
had a similar spell. She has not had any further episodes since that time.
Patient's history is significant for hypertension since age 35. She had no previous history - CORRECT
ANSWER 99222
This is a 15-year-old girl, never seen at this clinic. During a problem-focused history, she states that she
noticed a lump on the back of her right wrist yesterday.
P/E: There is a 2-cm freely movable, rubbery, round swelling on the dorsal surface of the right wrist.
Distal neurovascular and tendon exam intact. This is not painful to palpation. (The MDM was of
straightforward complexity.)
Impression: Ganglion cyst, right wrist.
Treatment: Refer to Dr. Andrews for further treatment.
CPT Code: ____________________ - CORRECT ANSWER 99201
A new patient presents to the physician's office at which time the physician provides a comprehensive
history and exam with a high complexity MDM.
CPT Code: ____________________ - CORRECT ANSWER 99205
An initial inpatient consultation with a detailed history, detailed exam and MDM of low complexity.
CPT Code: ____________________ - CORRECT ANSWER 99253
A 40-year-old established patient presents to the physician office for a preventive care exam.
CPT Code: ____________________ - CORRECT ANSWER 99396
History and exam of the normal newborn infant born in a hospital setting.
CPT Code: ___________________ - CORRECT ANSWER 99460
A 7-year-old female established patient presents to the pediatrician complaining of ear pain x 3 days. A
detailed history is then taken. She had associated fever of 101° F yesterday. Mom treated her with
Tylenol. The fever this AM is 99° F. She has had some chills and cough as well as some difficulty
breathing. No nausea or vomiting. No prior history of Otitis. Brother was sick earlier this week. The
