Exam CPC topic 15 question 116 discussion

Actual exam question from AAPC's CPC

Question #: 116
Topic #: 15

A 20-year-old female is being seen for the first time by a primary care physician to have a yearly physical. During the examination for the physical, the provider discovers non-inflammed lesions on her legs and arms. The physician performs a complete physical and additional separate documentation for the treatment of the lesions on the bilateral upper and lower extremities. The provider has the patient buy an over-the-counter ointment and will continue to watch them.
What CPT® coding is reported for this visit?

A. 99385
B. 99202
C. 99385-25, 99203
D. 99385, 99203-25

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Suggested Answer: C 🗳️

by vynyfulu at April 5, 2025, 2:14 p.m.

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JJohns1024

2 months, 2 weeks ago

Selected Answer: D

99385 would be for the initial physical, new patient 18-39 years of age. 99203-25 would be coded for the abnormality found on the legs and arms with the modifier as required by CPT guidelines to indicate a significant, separately identifiable eval and management service was provided on the same day as the preventative medicine service.

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