Question 1
33 year-old male was admitted to the hospital on 12/17/XX from the ER, following a motor vehicle accident. His spleen was severely damaged and a splenectomy was performed.. The patient is being discharged from the hospital on 12/20/XX. During his hospitalization the patient experienced pain and shortness of breath, but with an antibiotic regimen of Levaquin, he improved. The attending physician performed a final examination and reviewed the chest X-ray revealing possible infiltrates and a CT of the abdomen ruled out any abscess. He was given a prescription of Zosyn. The patient was told to follow up with his PCP or return to the ER for any pain or bleeding. The physician spent 20 minutes on the date of discharge.What CPT® code is reported for the 12/20 visit?
Correct Answer:
99238
Explanation:
Rationale: The patient is being discharged from the hospital. Hospital discharge codes are determined based on the time documented the physician spent providing services to discharge the patient. The provider documented 20 minutes, which is reported with 99238
Question 2
60-year-old woman is seeking help to quit smoking. She makes an appointment to see Dr. Lung for an initial visit. The patient has a constant cough due to smoking and some shortness of breath. No night sweats, weight loss, night fever, CP, headache, or dizziness. She has tried patches and nicotine gum, which has not helped. Patient has been smoking for 40 years and smokes 2 packs per day. She has a family history of emphysema. A limited three system exam was performed. Dr Lung discussed in detail the pros and cons of medications used to quit smoking. Counseling and education was done for 20 minutes of the 30 minute visit. Prescriptions for Chantrix and Tetracylcine were given. The patient to follow up in 1 month. A chest X-ray and cardiac work up was ordered. Select the appropriate CPT code(s) for this visit:. 99202 99203 99203, 99354 99214, 99354
Correct Answer:
99203 based on the total time of the visit
Explanation:
Rationale: Patient is coming to the doctor’s office for help to to quit smoking. The patient is new. The physician documents 20 minutes of the 30 minute visit was spent counseling the patient. E/M Guidelines identify when time is considered the key or controlling factor to qualify for a E/M service. When counseling and/or coordination of care is more than 50% face to face time in the office or other outpatient setting, time may be used to determine the level of E/M. The correct code is 99203 based on the total time of the visit which is 30 minutes
Question 3
The physician was called to the hospital floor for the medical management of a 56-year-old patient admitted one day ago with aspiration pneumonia and COPD. No chest pain at present, but still SOB and some swelling in his lower extremities. Patient was tachypenic yesterday; lungs reveal course crackles in both bases, right worse than left. The physician writes instructions to continue with intravenous antibiotic treatment and respiratory support He reviewed chest X-ray and labs. Patient is improving and a pulmonary consultation has been requested. What CPT® code is reported?
Correct Answer:
99231
Explanation:
Rationale: Physician is providing subsequent hospital care to an inpatient. The physician performed an expanded problem focused interval history (brief HPI, pertinent ROS since last assessment) + problem focused exam (1 system) + low MDM (prescription drug management, two data points and established diagnosis is improving. Subsequent hospital codes require two out of three key components. The code documented is a 99231
Question 4
An established 47-year-old patient presents to the physician’s office after falling last night at her home when she slipped in water on the kitchen floor. She is complaining of back pain and no tingling or numbness. Physician documents that she has full range motion of the spine, with discomfort. Her gait is within normal limits. Straight leg raising is negative. She requested no medication. It is recommended to use heat, such as a hot water bottle. Doctor’s Assessment: Back Strain. What E/M and ICD-9-CM codes are reported for this service? 99212, 847.9, E888.8, E849.0 99213, 846.9, E885.8, E849.0 99212, 847.9, E885.9, E849.0 99213, 847.9, E888.9, E849.0 View Correct Answer Answer Key: B
Correct Answer:
B
Explanation:
Correct answer: B
Question 5
5-year-old is brought to the Emergency Department by ambulance, He had been found floating in a pool for an unknown amount of time. EMS started CPR which was continued by the ED physician along with endotracheal intubation and placement of a CVP. The ER physician spent 1 hour with the critically ill patient. The ED physician makes a notation the 1 hour does not include the time for the other separate billable. What CPT® codes should be reported? 92950, 99291-25, 36556, 31603 92950, 99291 92950, 99291-25, 36556, 31500 92950, 99285-25, 36556, 31500 View Correct Answer Answer Key: C
Correct Answer:
C
Explanation:
Correct answer: C
Question 1
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About this Exam

Prepare with the AAPC CPC Evaluation & Management Practice Test 2026 practice quiz. This question bank includes 10 questions covering patient, physician, reported, year-old, and code. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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AAPC CPC Evaluation & Management Practice Test 2026

This practice set contains 10 questions from the matching question bank and focuses on patient, physician, reported, year-old, and code. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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