STUDY GUIDE 2026 QUESTIONS GRADED
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⩥ 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 report the ED visit?
Answer: 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
this be reported? Answer: 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. What CPT® code is reported? Answer: 99397
⩥ What ICD-10-CM code is reported for vertigo? Answer: 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 reported? Answer:
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