AAPC - Chapter 19 Review Exam
Questions and Answers Graded A
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 four? ✔✔Subsequent Hospital Care
If the pain is sharp, stabbing or dull, what is the component of the History of Present Illness
(HPI)? ✔✔Quality
What modifier is used to report an evaluation and management service mandated by a court
order? ✔✔32
According to CPT® guidelines what is the first step in selecting an evaluation and management
code? ✔✔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? ✔✔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? ✔✔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? ✔✔99397
What ICD-10-CM code is reported for 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 reported?
✔✔99348
Questions and Answers Graded A
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 four? ✔✔Subsequent Hospital Care
If the pain is sharp, stabbing or dull, what is the component of the History of Present Illness
(HPI)? ✔✔Quality
What modifier is used to report an evaluation and management service mandated by a court
order? ✔✔32
According to CPT® guidelines what is the first step in selecting an evaluation and management
code? ✔✔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? ✔✔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? ✔✔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? ✔✔99397
What ICD-10-CM code is reported for 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 reported?
✔✔99348
