100 Questions | Rationales Included | 2026 Updated | Walden University
PREMIUM TEST BANK (100 QUESTIONS)
Question 1
The statement describing the reason for the patient encounter is
called the:
✅ Chief Complaint
Rationale: The chief complaint is required for all E/M services and
explains why the patient is seeking care.
Question 2
Bruising is documented under which review of systems category?
✅ Hematologic
Rationale: Hematologic systems include blood-related conditions
such as bruising, bleeding, and clotting disorders.
,100 Questions | Rationales Included | 2026 Updated | Walden University
Question 3
A new patient with comprehensive history, comprehensive exam,
and high-complexity MDM is coded as:
✅ 99205
Rationale: CPT 99205 represents the highest-level office visit for
new patients.
Question 4
A request from one physician to another for advice or opinion is a:
✅ Consultation
Rationale: Consultations involve a formal request and documented
opinion from another provider.
Question 5
Preventive medicine service levels are based primarily on the
patient’s:
✅ Age
,100 Questions | Rationales Included | 2026 Updated | Walden University
Rationale: Preventive CPT codes are selected according to age
ranges, not complexity.
Question 6
Which CPT code reflects an ED visit with detailed history, detailed
exam, and moderate MDM?
✅ 99284
Rationale: 99284 is assigned when documentation meets these
three components.
Question 7
The history and exam of a normal newborn in the hospital is
reported as:
✅ 99460
Rationale: CPT 99460 is specific to initial newborn hospital care.
, 100 Questions | Rationales Included | 2026 Updated | Walden University
Question 8
An initial inpatient consultation with low-complexity MDM is
coded as:
✅ 99253
Rationale: 99253 corresponds to detailed history/exam with low
complexity decision making.
Question 9
Low birth weight definitions appear under which E/M subsection?
✅ Initial and Continuing Intensive Care
Rationale: Neonatal and intensive care services include low birth
weight guidelines.
Question 10
Paper health records are typically stored:
✅ In numeric or alphabetic filing systems
Rationale: Traditional HIM systems rely on organized physical
filing methods.
PREMIUM TEST BANK (100 QUESTIONS)
Question 1
The statement describing the reason for the patient encounter is
called the:
✅ Chief Complaint
Rationale: The chief complaint is required for all E/M services and
explains why the patient is seeking care.
Question 2
Bruising is documented under which review of systems category?
✅ Hematologic
Rationale: Hematologic systems include blood-related conditions
such as bruising, bleeding, and clotting disorders.
,100 Questions | Rationales Included | 2026 Updated | Walden University
Question 3
A new patient with comprehensive history, comprehensive exam,
and high-complexity MDM is coded as:
✅ 99205
Rationale: CPT 99205 represents the highest-level office visit for
new patients.
Question 4
A request from one physician to another for advice or opinion is a:
✅ Consultation
Rationale: Consultations involve a formal request and documented
opinion from another provider.
Question 5
Preventive medicine service levels are based primarily on the
patient’s:
✅ Age
,100 Questions | Rationales Included | 2026 Updated | Walden University
Rationale: Preventive CPT codes are selected according to age
ranges, not complexity.
Question 6
Which CPT code reflects an ED visit with detailed history, detailed
exam, and moderate MDM?
✅ 99284
Rationale: 99284 is assigned when documentation meets these
three components.
Question 7
The history and exam of a normal newborn in the hospital is
reported as:
✅ 99460
Rationale: CPT 99460 is specific to initial newborn hospital care.
, 100 Questions | Rationales Included | 2026 Updated | Walden University
Question 8
An initial inpatient consultation with low-complexity MDM is
coded as:
✅ 99253
Rationale: 99253 corresponds to detailed history/exam with low
complexity decision making.
Question 9
Low birth weight definitions appear under which E/M subsection?
✅ Initial and Continuing Intensive Care
Rationale: Neonatal and intensive care services include low birth
weight guidelines.
Question 10
Paper health records are typically stored:
✅ In numeric or alphabetic filing systems
Rationale: Traditional HIM systems rely on organized physical
filing methods.
