AAPC - Chapter 19 Review Exam Questions and
Answers Graded A NEW VERSION 2026
A provider admits Mrs. Smith to the hospital. She is there for five days. The provider sees her each day
she's in the hospital. What subcategory of E/M codes would be used for days two, three and
- ANSWER- four? Subsequent Hospital Care
If the pain is sharp, stabbing or dull, what is the component of the History of Present Illness (HPI)?
ANSWER-Quality
What modifier is used to report an evaluation and management service mandated by a court order?
ANSWER-32
According to CPT® guidelines what is the first step in selecting an evaluation and management code?
ANSWER-Determine the category and subcategory
Fred is fishing at the local area lake while on vacation. He gets lightheaded and dizzy and goes to the
local hospital Emergency Department. He's evaluated by the ED provider. This is the
first time he has been to this hospital. What subsection is used to - ANSWER- report the ED
visit?Emergency Department Services
A 77 year-old Medicare beneficiary has a digital rectal examination for prostate cancer
screening and the provider orders a PSA. How would - ANSWER- this be reported?G0102
A 75 year-old established patient sees his regular primary care provider for a physical screening prior
to joining a group home. He has no new complaints. The patient has an established diagnosis of
cerebral palsy and type 2 diabetes and is currently on his meds. A comprehensive history and
examination is performed. The provider counsels the patient on the importance of taking his
medication and gives him a prescription for refills. Blood work was ordered. PPD was done and flu
vaccine given. Patient already had a vision exam. No abnormal historical facts or
finding are noted. - ANSWER-
What CPT® code is reported?99397
What ICD-10-CM code is reported for - ANSWER- vertigo?R42
A provider makes a home care visit to a 63 year-old hemiplegic patient who has been experiencing
insomnia for the last two weeks. The patient has been home bound for the last year. The last visit
from this provider was four months ago to manage his DM. The physician performs an expanded
problem focused examination and low MDM. The provider speaks with the spouse
about the possibility of placing the patient in a nursing facility. What CPT® code is - ANSWER-
reported?99348
A 32 year-old patient sees Dr. Smith for a consult at the request of his PCP, Dr. Long, for an ongoing
problem with allergies. The patient has failed Claritin and Alavert and feels his symptoms continue to
worsen. Dr. Smith performs an expanded problem focused history and exam and discusses options
with the patient on allergy management. The MDM is straightforward. The patient agrees he would
like to be tested to possibly gain better control of his allergies. Dr. Smith sends a report to Dr. Long
thanking him for the referral and includes the date the patient is scheduled for allergy
testing. Dr. Smith also includes his findings from the encounter. What E/M code - ANSWER- is
reported?99242
Answers Graded A NEW VERSION 2026
A provider admits Mrs. Smith to the hospital. She is there for five days. The provider sees her each day
she's in the hospital. What subcategory of E/M codes would be used for days two, three and
- ANSWER- four? Subsequent Hospital Care
If the pain is sharp, stabbing or dull, what is the component of the History of Present Illness (HPI)?
ANSWER-Quality
What modifier is used to report an evaluation and management service mandated by a court order?
ANSWER-32
According to CPT® guidelines what is the first step in selecting an evaluation and management code?
ANSWER-Determine the category and subcategory
Fred is fishing at the local area lake while on vacation. He gets lightheaded and dizzy and goes to the
local hospital Emergency Department. He's evaluated by the ED provider. This is the
first time he has been to this hospital. What subsection is used to - ANSWER- report the ED
visit?Emergency Department Services
A 77 year-old Medicare beneficiary has a digital rectal examination for prostate cancer
screening and the provider orders a PSA. How would - ANSWER- this be reported?G0102
A 75 year-old established patient sees his regular primary care provider for a physical screening prior
to joining a group home. He has no new complaints. The patient has an established diagnosis of
cerebral palsy and type 2 diabetes and is currently on his meds. A comprehensive history and
examination is performed. The provider counsels the patient on the importance of taking his
medication and gives him a prescription for refills. Blood work was ordered. PPD was done and flu
vaccine given. Patient already had a vision exam. No abnormal historical facts or
finding are noted. - ANSWER-
What CPT® code is reported?99397
What ICD-10-CM code is reported for - ANSWER- vertigo?R42
A provider makes a home care visit to a 63 year-old hemiplegic patient who has been experiencing
insomnia for the last two weeks. The patient has been home bound for the last year. The last visit
from this provider was four months ago to manage his DM. The physician performs an expanded
problem focused examination and low MDM. The provider speaks with the spouse
about the possibility of placing the patient in a nursing facility. What CPT® code is - ANSWER-
reported?99348
A 32 year-old patient sees Dr. Smith for a consult at the request of his PCP, Dr. Long, for an ongoing
problem with allergies. The patient has failed Claritin and Alavert and feels his symptoms continue to
worsen. Dr. Smith performs an expanded problem focused history and exam and discusses options
with the patient on allergy management. The MDM is straightforward. The patient agrees he would
like to be tested to possibly gain better control of his allergies. Dr. Smith sends a report to Dr. Long
thanking him for the referral and includes the date the patient is scheduled for allergy
testing. Dr. Smith also includes his findings from the encounter. What E/M code - ANSWER- is
reported?99242
