CPMA Scenario's EXAM NEWEST
2026/2027 TEST BANK|CERTIFIED
PROFESSIONAL MEDICAL AUDITOR
EXAM PREP WITH COMPLETE 50
REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+ (BRAND NEW!!)
WhichmproceduremismexemptmfrommModifierm59?m-mCORRECTmANSWERm93456
WhichmofmthemfollowingmcodemcombinationmaremNOTmsubjectmtomammultiplemprocedurempaymentm
reduction?m-mCORRECTmANSWERm32666,m32764
Inmfebuarym2018,manmauditormismaskedmtomreviewm10mrecordsmformdatemofmservicem12/1/2017mtomm
akemsuremthemclaimsmwerempaidmcorrectly.mThemclaimsmincludedmcodem55450,mwhichmwasmdeniedm
onmallmthemclaims.mThemdenialmwasmformanminvalidmcode.mWhatmshouldmthemauditormadvisemthempro
vider?m-
mCORRECTmANSWERmIfmdocumentationmsupportsmthemservice,mhavemthemstaffmtomwritemoffmthemba
lance
Whichmcodemcombinationmismappropriatemtomreport?m-mCORRECTmANSWERm10022,m76942
HowmaremrevisionsmtomcodingmguidelinesmidentifiedminmthemCPT*mcodebook?m-
mCORRECTmANSWERmGreenmtextmwithmopposingmarrows
Whichmofmthemfollowingmscenariosmqualifiesmformamconsultationmcode?m-
mCORRECTmANSWERmAmpatientmfollowedmbymhermprimarymcaremphysicianmformdiabetesmismreferred
mtomanmendocrinologistminmthemsamemgroupmpracticemtomreviewmthempatient'smcurrentmregimenman
, dmoffermsuggestionsmformongoingmtreatment.mHermdiabetesmhasmbeenmdifficultmtomkeepmundermcon
trol.
Determinemthemlevelmofmhistorymformthemfollowingmdocumentation.m44myear-
oldmfemalemreportsmthatmshemsteppedmonmambrokenmpiecemofmglassmlastmevening.mShemreportsmpai
nminmthembottommofmhermleftmfootmhasmpersistedmsincemthismincident.mPatientmreportsmthatmshemnot
edmmildmbleedingmfrommthismarea.mShemreportsmhermtetanusmismupmtomdate.mShemdeniesmparalysism
ormparesthesia.m-mCORRECTmANSWERmDetailed
Whichmsystemmismgivenmcreditmformthemexammcomponentmwhenmamprovidermdocumentsm"nomappr
eciablemedemaminmthemankles?"m-mCORRECTmANSWERmCardiovascular
WhatmismthemlevelmofmMDMmformthemdocumentationmprovidedmbelow?mDiabeticmneuropathy,mimpr
ovedmbutmstillmuncontrolled.mStillmhavingminsomniamismcontributingmtomhermsugarsmbeingmhighminmt
hemmornings.mLyricamshouldmhelpmhermwithmthemsleeping;mwemwillmmonitormhowmhermBSmresponds
mtomthismnewmmedicine.mReturnmtomthemofficeminm4-5mweeks.m-mCORRECTmANSWERmLow
WhatmismthemE/Mmcodemformthemcasembelow?
56myear-
oldmestablishedmmalempatientmpresentsmwithmthemchestmcold,mdeniesmanymfevermandmchills.mProdu
ctivemcough;myellow,mgreenmphlegm.mPostnasalmdrainage,mearsmfeelmpressure,mheadache,matmtimes
.mHasmnotmtakenmanymOTCmasmthismismjustmstarting,mhasmhadmapprox.m3-
4mdays,mandmseemsmtombemgettingmworse.m-mCORRECTmANSWERm99214
Ampatientmreceivesmgeneralmanesthesiamformamtotalmkneemreplacement.mThemanesthesiamproviderm
startsmanesthesiamatm8:00mAM.mThemsurgerymbeginsmatm8:15mAMmandmendsm9:45mAM.mThemanesth
esiamprovidermtakesmthempatientmtomrecoverymandmturnsmcaremovermtomthemrecoverymroommnursema
tm9:55mAM.m-mCORRECTmANSWERm115mminutes
AmCRNAmperformsmanesthesiamformtubalmligationmonmamhealthym35myear-
old.mThemCRNAmismworkingmindependently.mWhatmismthemcorrectmcodemandmmodifier?m-
mCORRECTmANSWERm00851-QZ-P1
2026/2027 TEST BANK|CERTIFIED
PROFESSIONAL MEDICAL AUDITOR
EXAM PREP WITH COMPLETE 50
REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+ (BRAND NEW!!)
WhichmproceduremismexemptmfrommModifierm59?m-mCORRECTmANSWERm93456
WhichmofmthemfollowingmcodemcombinationmaremNOTmsubjectmtomammultiplemprocedurempaymentm
reduction?m-mCORRECTmANSWERm32666,m32764
Inmfebuarym2018,manmauditormismaskedmtomreviewm10mrecordsmformdatemofmservicem12/1/2017mtomm
akemsuremthemclaimsmwerempaidmcorrectly.mThemclaimsmincludedmcodem55450,mwhichmwasmdeniedm
onmallmthemclaims.mThemdenialmwasmformanminvalidmcode.mWhatmshouldmthemauditormadvisemthempro
vider?m-
mCORRECTmANSWERmIfmdocumentationmsupportsmthemservice,mhavemthemstaffmtomwritemoffmthemba
lance
Whichmcodemcombinationmismappropriatemtomreport?m-mCORRECTmANSWERm10022,m76942
HowmaremrevisionsmtomcodingmguidelinesmidentifiedminmthemCPT*mcodebook?m-
mCORRECTmANSWERmGreenmtextmwithmopposingmarrows
Whichmofmthemfollowingmscenariosmqualifiesmformamconsultationmcode?m-
mCORRECTmANSWERmAmpatientmfollowedmbymhermprimarymcaremphysicianmformdiabetesmismreferred
mtomanmendocrinologistminmthemsamemgroupmpracticemtomreviewmthempatient'smcurrentmregimenman
, dmoffermsuggestionsmformongoingmtreatment.mHermdiabetesmhasmbeenmdifficultmtomkeepmundermcon
trol.
Determinemthemlevelmofmhistorymformthemfollowingmdocumentation.m44myear-
oldmfemalemreportsmthatmshemsteppedmonmambrokenmpiecemofmglassmlastmevening.mShemreportsmpai
nminmthembottommofmhermleftmfootmhasmpersistedmsincemthismincident.mPatientmreportsmthatmshemnot
edmmildmbleedingmfrommthismarea.mShemreportsmhermtetanusmismupmtomdate.mShemdeniesmparalysism
ormparesthesia.m-mCORRECTmANSWERmDetailed
Whichmsystemmismgivenmcreditmformthemexammcomponentmwhenmamprovidermdocumentsm"nomappr
eciablemedemaminmthemankles?"m-mCORRECTmANSWERmCardiovascular
WhatmismthemlevelmofmMDMmformthemdocumentationmprovidedmbelow?mDiabeticmneuropathy,mimpr
ovedmbutmstillmuncontrolled.mStillmhavingminsomniamismcontributingmtomhermsugarsmbeingmhighminmt
hemmornings.mLyricamshouldmhelpmhermwithmthemsleeping;mwemwillmmonitormhowmhermBSmresponds
mtomthismnewmmedicine.mReturnmtomthemofficeminm4-5mweeks.m-mCORRECTmANSWERmLow
WhatmismthemE/Mmcodemformthemcasembelow?
56myear-
oldmestablishedmmalempatientmpresentsmwithmthemchestmcold,mdeniesmanymfevermandmchills.mProdu
ctivemcough;myellow,mgreenmphlegm.mPostnasalmdrainage,mearsmfeelmpressure,mheadache,matmtimes
.mHasmnotmtakenmanymOTCmasmthismismjustmstarting,mhasmhadmapprox.m3-
4mdays,mandmseemsmtombemgettingmworse.m-mCORRECTmANSWERm99214
Ampatientmreceivesmgeneralmanesthesiamformamtotalmkneemreplacement.mThemanesthesiamproviderm
startsmanesthesiamatm8:00mAM.mThemsurgerymbeginsmatm8:15mAMmandmendsm9:45mAM.mThemanesth
esiamprovidermtakesmthempatientmtomrecoverymandmturnsmcaremovermtomthemrecoverymroommnursema
tm9:55mAM.m-mCORRECTmANSWERm115mminutes
AmCRNAmperformsmanesthesiamformtubalmligationmonmamhealthym35myear-
old.mThemCRNAmismworkingmindependently.mWhatmismthemcorrectmcodemandmmodifier?m-
mCORRECTmANSWERm00851-QZ-P1