Professional Review Guide - CPT Coding
UPDATED ACTUAL Questions and
CORRECT Answers
[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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER - B. 99243
[Anesthesia]
Code anesthesia for upper abdominal ventral hernia repair.
A. 00832
B. 00750
C. 00752
D. 00830 - CORRECT ANSWER - C. 00752
Code anesthesia for total hip replacement.
A. 01210
B. 01402
C. 01230
D. 01214 - CORRECT ANSWER - D. 01214
Code anesthesia for vaginal hysterectomy.
A. 00846
B. 00944
C. 30840
D. 01963 - CORRECT ANSWER - B. 00944
Code anesthesia for placement of vascular shunt in forearm.
UPDATED ACTUAL Questions and
CORRECT Answers
[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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER - B. 99243
[Anesthesia]
Code anesthesia for upper abdominal ventral hernia repair.
A. 00832
B. 00750
C. 00752
D. 00830 - CORRECT ANSWER - C. 00752
Code anesthesia for total hip replacement.
A. 01210
B. 01402
C. 01230
D. 01214 - CORRECT ANSWER - D. 01214
Code anesthesia for vaginal hysterectomy.
A. 00846
B. 00944
C. 30840
D. 01963 - CORRECT ANSWER - B. 00944
Code anesthesia for placement of vascular shunt in forearm.
