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Click here for more sample CPC practice exam questions and answers with full rationale

Clinical Examples for 99214


Office visit for an established patient now presenting with generalized dermatitis of 80% of the body surface area. (Dermatology)

Office visit for a 32-year-old female, established patient, with new onset right lower quadrant pain. (Family Medicine)

Office visit for reassessment and reassurance/counseling of a 40-year-old female, established patient, who is experiencing increased symptoms while on a pain management treatment program. (Pain Medicine)

Office visit for a 30-year-old, established patient, under management for intractable low back pain, who now presents with new onset right posterior thigh pain. (Pain Medicine)

Office visit for an established patient with frequent intermittent, moderate to severe headaches requiring beta blocker or tricyclic antidepressant prophylaxis, as well as four symptomatic treatment, but who is still experiencing headaches at a frequency of several times a month that are unresponsive to treatment. (Pain Medicine)

Office visit for an established patient with psoriasis with extensive involvement of scalp, trunk, palms, and soles with joint pain, Combination of topical and systemic treatments discussed and instituted. (Dermatology)

Office visit for a 55-year-old male, established patient, with increasing night pain, limp, and progressive varus of both knees. (Orthopaedic Surgery)

Follow-up visit for a 15-year-old withdrawn patient with four-year-old history of papulocystic acne of the face, chest, and back with early scarring and poor response to past treatment, Discussion of use of systemic medication. (Dermatology)

Office visit for a 28-year-old male, established patient, with regional enteritis, diarrhea, and low-grade fever. (Internal Medicine)

Office visit for a 25-year-old female, established patient, following recent arthrogram and MR imaging for TMJ pain. (Oral & Maxillofacial Surgery)

Office visit for a 32-year-old female, established patient, with large obstructing stone in left mid-ureter, to discuss management options including urethroscopy with extraction or ESWL. (Urology)

Evaluation for a 28-year-old male, established patient, with new onset of low back pain. (Anesthesiology/pain Medicine)

Office visit for a 28-year-old female, established patient, with right lower quadrant abdominal pain, fever, and anorexia. (Internal Medicine/Family Medicine)

Office visit for a 45-year-old male, established patient, four months follow-up of L4-5 diskectomy with persistent incapacitating low back and leg pain. (Orthopadic Surgery)

Outpatient visit for a 77-year-old male, established patient, with hypertension, presenting with a three-months history of episodic substernal chest pain on exertion. (Cardiology)

Office visit for a 25-year-old female, established patient, for evaluation of progressive saddle nose deformity of unknown etiology. (Plastic Surgery)

Office visit for a 65-year-old male, established patient, with BPH and severe bladder outlet obstruction, to discuss management options such as TURP. (Urology)

Office visit for an adult diabetic established patient with a past history of recurrent sinusitis who presents with one-week history of double vision. (Otolaryngology/Head & Neck Surgery)

Office visit for an established patient with lichen planus and 60% of the cutaneous surface involved, not responsive to systemic steroids, as well as developing symptoms of progressive heartburn and paranoid ideation. (Dermatology)

Office visit for a 52-year-old male, established patient, with a 12-year-old history of bipolar disorder responding to lithium carbonate and brief psychotherapy, Psychotherapy and prescription provided. (Psychiatry)

Office visit for a 63-year-old female, established patient, with history of familial polyposis, status post-colectomy with sphincter sparing procedure, who now presents with rectal bleeding and increase in stooling frequency. (General Surgery)

Office visit for a 68-year-old male, established patient, with the sudden onset of multiple flashes and floaters in the right eye due to a posterior vitreous detachment.(Ophthalmology)

Office visit for a 55-year-old female, established patient, on cyclosporine for treatment of resistant, small vessel vasculitis. (Rheumatology)

Follow-up office visit for a 55 year-old male, two months after iliac angioplasty with new onset of contralateral extremity claudication. (Interventional Radiology)

Office visit for a 68-year-old male, established patient, with stable angina, two months post myocardial infarction, who is not tolerating one of his medications. (Cardiology)

Weekly office visit for 5FU therapy for an ambulatory established patient with metastatic colon cancer and increasing shortness of breath. (Hematology/Oncology)

Follow-up office visit for a 60-year-old male, established patient, whose post-traumatic seizures have disappeared on medication and who now raises the question of stopping the medication (Neurology)

Office evaluation on new onset RLQ pain in a 32-year-old female, established patient. (Urology/General Surgery/Internal Medicine/Family Medicine)

Office evaluation of 29-year-old, established patient, with regional enteritis, diarrhea, and low-grade fever. (Family Medicine/Internal Medicine)      

Office visit with 50-year-old female, established patient, diabetic, blood suger controlled by diet, She now complains of frequency of urination and weight loss, blood suger of 320 and negative ketones on dipstick. (Internal Medicine)

Follow-up office visit for a 45-year-old, established patient, with rheumatoid arthritis on gold, methotrexate, or immunosuppressive therapy. (Rheumatology) 

Office visit for a 60-year-old male, established patient, two years post-removal of intracranial meningioma, now with new headaches and visual disturbance.(Neurosurgery)

Office visit for a 68-year-old female, established patient, for routine review and follow-up of non-insulin dependent diabetes, obesity, hypertension, and congestive heart failure, Complains of vision difficulties and admits dietary noncompliance, Patient is counseled concerning diet and current medications adjusted. (Family Medicine)


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