Question

question 14

dr. jones documents mrs. smiths condition has improved during his third visit to her hospital room. upon entering the room, he in bed, watching television and eating breakfast. dr. jones performs a medically appropriate history and exam and low medical
what cpt® code is reported?

99233
99232
99221
99231

Explanation:

Identify the encounter type and patient status

The encounter is a subsequent visit ("third visit to her hospital room") for an inpatient, which classifies it under Subsequent Hospital Inpatient Care (CPT code range 99231–99233).

Determine the level of Medical Decision Making (MDM)

The documentation states the physician performed a medically appropriate history and exam with "low medical decision making" (low MDM).

Select the matching CPT code

Under CPT guidelines for Subsequent Hospital Care:

• 99231 requires straightforward or low MDM.
• 99232 requires moderate MDM.
• 99233 requires high MDM.

Since the MDM is low, the correct code is 99231.

Answer:

• 99233
• 99232
• 99221
• 99231 (Correct answer)