Exam (elaborations)
AAPC CHAPTER 19 - EVALUATION AND MANAGEMENT - REVIEW EXAM 2025 WITH CORRECT ANSWERS
AAPC CHAPTER 19 - EVALUATION AND MANAGEMENT - REVIEW EXAM 2025 WITH CORRECT ANSWERS
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AAPC CHAPTER 19 - EVALUATION ANDMANAGEMENT - REVIEW EXAM 2025
WITH CORRECT ANSWERS
AZproviderZadmitsZMrs.ZSmithZtoZtheZhospital.ZSheZisZthereZforZfiveZdays.ZTheZproviderZseesZherZeachZdayZsh
e'sZinZtheZhospital.ZWhatZsubcategoryZofZE/MZcodesZwouldZbeZusedZforZdaysZtwo,ZthreeZandZfour?Z-
ZcorrectZanswer-CorrectZAnswer:Z
c.ZSubsequentZHospitalZCare
ResponseZFeedback:Z
Rationale:ZCodesZfromZtheZSubsequentZHospitalZCareZsubcategoryZwouldZbeZusedZforZdaysZtwo,ZthreeZandZf
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tedZwithZeitherZsubsequentZhospitalZcareZorZhospitalZcareZdischargeZdependingZonZtheZroleZofZtheZprovider.
WhatZmodifierZisZusedZtoZreportZanZevaluationZandZmanagementZserviceZmandatedZbyZaZcourtZorder?Z-
ZcorrectZanswer-CorrectZAnswer:Z
c.Z32
ResponseZFeedback:Z
Rationale:ZModifierZ32ZisZusedZforZservicesZrelatedZtoZmandatedZconsultationZand/orZrelatedZservicesZbyZaZ
third-partyZpayer,Zgovernmental,ZlegislativeZorZregulatoryZrequirements.
WhatZcategoryZofZcodesZshouldZbeZusedZtoZreportZanZevaluationZandZmanagementZserviceZprovidedZtoZaZp
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c.ZNursingZfacilityZservices
ResponseZFeedback:Z
Rationale:ZTheZguidelinesZforZNursingZFacilityZServicesZstate,Z"TheseZcodesZshouldZalsoZbeZusedZtoZreportZe
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AZpatientZisZseenZbyZDr.ZBZwhoZisZcoveringZonZcallZservicesZforZDr.ZA.ZTheZpatientZisZanZestablishedZpatientZwi
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,c.ZEstablishedZpatientZofficeZvisit
ResponseZFeedback:Z
Rationale:ZAccordingZtoZtheZE/MZGuidelineZforZNewZandZEstablishedZPatient,ZwhenZaZproviderZisZonZcallZorZc
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AZPCPZtransfersZaZpatientZtoZaZcardiologistZforZmanagementZofZtheZpatient'sZcongestiveZheartZfailure.ZTheZc
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yZforZtheZcardiologist?Z-ZcorrectZanswer-CorrectZAnswer:Z
a.ZNewZpatientZofficeZvisit
ResponseZFeedback:Z
Rationale:ZTheZPCPZtransferredZtheZpatientZtoZtheZcardiologistZtoZmanage/treatZtheZcongestiveZheartZfailur
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WhatZICD-10-CMZcodeZisZreportedZforZnauseaZandZvomiting?Z-ZcorrectZanswer-CorrectZAnswer:Z
b.ZR11.2
ResponseZFeedback:Z
Rationale:ZLookZinZtheZICD-10-
CMZAlphabeticZIndexZforZNausea/withZvomitingZreferringZyouZtoZR11.2.ZVerifyZcodeZselectionZinZtheZTabula
rZList.
AZpatientZisZdiagnosedZasZhavingZbothZacuteZandZchronicZtonsillitis.ZHowZisZthisZreportedZinZICD-10-CM?Z-
ZcorrectZanswer-CorrectZAnswer:Z
d.ZTheZacuteZtonsillitisZisZreportedZfirst;ZtheZchronicZtonsillitisZisZreportedZsecond.
ResponseZFeedback:Z
, Rationale:ZCodingZacuteZandZchronicZconditionsZinZICD-10-
CMZfollowsZtheZcodingZguidelinesZI.B.8.ZIfZtheZsameZconditionZisZdescribedZasZbothZacuteZ(subacute)ZandZch
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AZ10-year-
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a.Z99393,Z99213-25
ResponseZFeedback:Z
Rationale:ZTheZphysicalZexamZcodeZisZselectedZfromZtheZPreventiveZMedicineZServicesZandZselectedZbasedZ
onZwhetherZtheZpatientZisZnewZorZestablishedZandZbyZage.ZTheZpediatricianZalsoZevaluatesZandZtreatsZtheZU
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pendedZtoZtheZofficeZvisitZtoZshowZitZisZaZsignificantZandZseparatelyZidentifiableZserviceZfromZtheZpreventive
Zvisit.
Dr.ZJonesZdocumentsZMrs.ZSmith'sZconditionZhasZimprovedZduringZhisZthirdZvisitZtoZherZhospitalZroom.ZUpo
nZenteringZtheZroom,ZheZfindsZherZsittingZupZinZbed,ZwatchingZtelevisionZandZeatingZbreakfast.ZDr.ZJonesZper
formsZaZproblemZfocusedZexamZandZlowZmedicalZdecisionZmaking.ZWhatZCPT®ZcodeZisZreported?Z-
ZcorrectZanswer-CorrectZAnswer:Z
c.Z99231
ResponseZFeedback:Z
Rationale:ZThisZisZaZsubsequentZhospitalZcareZvisit.ZSubsequentZhospitalZcareZcodesZareZ99231-
99233.ZCodesZinZthisZsectionZrequireZ2ZofZ3ZkeyZcomponentsZbeZmet.ZAZproblemZfocusedZexamZandZlowZme
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AZsoccerZplayerZhitsZhisZheadZduringZanZindoorZgameZandZisZadmittedZtoZobservationZtoZwatchZforZheadZtra
uma.Z
AdmitZdate/time:Z01/21/20XXZ8:12ZPM
DetailedZHistory,ZDetailedZExam,ZLowZMDM
DischargeZdate/time:Z01/22/20XXZ8:15ZAM
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