AAPC CPC CHAPTER 19 ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
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? -
correct answer ✅Emergency Department Services
What modifier is used to report an evaluation and management
service mandated by a court order? -
correct answer ✅32
A patient is seen by Dr. B who is covering on call services for Dr. A.
The patient is an established patient with Dr. A. but she has not
been seen by Dr. B. before. Which E/M subcategory is appropriate
to report the services provided by Dr. B? -
correct answer ✅Established patient office visit
Which elements of HPI are met in this statement? Patient
complains of headache and blurry vision for the past 3 days. -
correct answer ✅Location, quality and duration
,AAPC CPC CHAPTER 19 ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
If the pain is sharp, stabbing or dull, what is the component of the
History of Present Illness (HPI)? -
correct answer ✅Quality
A 3 year-old critically ill child is admitted to the PICU from the ER
with respiratory failure due to an exacerbation of asthma not
manageable in the ER. The provider starts continuous
bronchodilator therapy and pharmacologic support along with
cardiovascular monitoring and possible mechanical ventilation
support. The provider documents a comprehensive history and
exam and orders are written after treatment is initiated. What is the
CPT ® code for this encounter? -
correct answer ✅99475
After moving across country, Ms. Robbins took her 2 year-old
daughter to a new pediatric clinic for an annual physical. The
provider completed an age / gender appropriate history, exam, and
provided anticipatory guidance. He ordered no additional tests or
immunizations. What CPT® code is reported? -
correct answer ✅99382
,AAPC CPC CHAPTER 19 ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A patient is in the hospital after a wedge resection of the left lung
due to cancer. He has not been able to keep the lung inflated
without a ventilator. A 45-minute team conference between the
general surgeon who performed the surgery, a pulmonologist, an
oncologist and a neurologist is held to discuss the best treatment
for the patient. The patient and/or patient's family is not present.
What CPT® code is reported? -
correct answer ✅99367
What ICD-10-CM code is reported for angina pectoris with a
documented spasm? -
correct answer ✅I20.1
A 10 year-old girl is scheduled for her yearly physical with her
pediatrician. At the time of the visit, the patient complains of
watery eyes, scratchy throat and stuffy nose for the past two days.
The provider performs the physical. He also performs an expanded
problem history and exam and treats the patient for a URI. What
CPT® code(s) is/are reported for this visit? -
correct answer ✅99393, 99213-25
, AAPC CPC CHAPTER 19 ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
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 is reported? -
correct answer ✅99242
Mr. Flintstone is seen by his oncologist just two days after
undergoing extensive testing for a sudden onset of petechiae, night
sweats, swollen glands and weakness. After a brief review of
history, Dr. B. Marrow re-examines Mr. Flintstone. The exam is
documented as expanded problem focused and the medical
decision making of moderate complexity. The oncologist spends an
additional 45 minutes discussing Mr. Flintstone's new diagnosis of
Hodgkin's lymphoma, treatment options and prognosis.
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
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? -
correct answer ✅Emergency Department Services
What modifier is used to report an evaluation and management
service mandated by a court order? -
correct answer ✅32
A patient is seen by Dr. B who is covering on call services for Dr. A.
The patient is an established patient with Dr. A. but she has not
been seen by Dr. B. before. Which E/M subcategory is appropriate
to report the services provided by Dr. B? -
correct answer ✅Established patient office visit
Which elements of HPI are met in this statement? Patient
complains of headache and blurry vision for the past 3 days. -
correct answer ✅Location, quality and duration
,AAPC CPC CHAPTER 19 ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
If the pain is sharp, stabbing or dull, what is the component of the
History of Present Illness (HPI)? -
correct answer ✅Quality
A 3 year-old critically ill child is admitted to the PICU from the ER
with respiratory failure due to an exacerbation of asthma not
manageable in the ER. The provider starts continuous
bronchodilator therapy and pharmacologic support along with
cardiovascular monitoring and possible mechanical ventilation
support. The provider documents a comprehensive history and
exam and orders are written after treatment is initiated. What is the
CPT ® code for this encounter? -
correct answer ✅99475
After moving across country, Ms. Robbins took her 2 year-old
daughter to a new pediatric clinic for an annual physical. The
provider completed an age / gender appropriate history, exam, and
provided anticipatory guidance. He ordered no additional tests or
immunizations. What CPT® code is reported? -
correct answer ✅99382
,AAPC CPC CHAPTER 19 ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A patient is in the hospital after a wedge resection of the left lung
due to cancer. He has not been able to keep the lung inflated
without a ventilator. A 45-minute team conference between the
general surgeon who performed the surgery, a pulmonologist, an
oncologist and a neurologist is held to discuss the best treatment
for the patient. The patient and/or patient's family is not present.
What CPT® code is reported? -
correct answer ✅99367
What ICD-10-CM code is reported for angina pectoris with a
documented spasm? -
correct answer ✅I20.1
A 10 year-old girl is scheduled for her yearly physical with her
pediatrician. At the time of the visit, the patient complains of
watery eyes, scratchy throat and stuffy nose for the past two days.
The provider performs the physical. He also performs an expanded
problem history and exam and treats the patient for a URI. What
CPT® code(s) is/are reported for this visit? -
correct answer ✅99393, 99213-25
, AAPC CPC CHAPTER 19 ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
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 is reported? -
correct answer ✅99242
Mr. Flintstone is seen by his oncologist just two days after
undergoing extensive testing for a sudden onset of petechiae, night
sweats, swollen glands and weakness. After a brief review of
history, Dr. B. Marrow re-examines Mr. Flintstone. The exam is
documented as expanded problem focused and the medical
decision making of moderate complexity. The oncologist spends an
additional 45 minutes discussing Mr. Flintstone's new diagnosis of
Hodgkin's lymphoma, treatment options and prognosis.
