1-How does the CPT Professional Edition define a new patient?

a. A new patient is one who has not received any professional services from the physician or another physician of the
same specialty who belongs to the same group practice, within the past two years.

b. A new patient is one who has not received any professional services from the physician or another physician of the
same specialty, who belongs to the same group practice, within the past three years.

c. A new patient is one, who has received professional services from the physician or another physician of the same
specialty within the last two years for the same problem.

d. A new patient is one who has received hospital services, but has never been seen in the clinic by the reporting physician.

2-An established patient is admitted to the hospital by his attending physician after a car accident in which the patient hit
the steering wheel of the automobile with significant enough force to fold the wheel backward. The patient complains of
significant pain in the right shoulder. After a detailed history and physical examination, the physician believed the patient
may have sustained a right rotator cuff injury. The medical decision was straightforward in complexity.

a. 99255

b. 99283

c. 99253

d. 99221

3-An established patient is seen in a nursing facility by the physician because the patient, who is a diabetic, has developed
a Stage II decubitus ulcer with cellulitis. The physician performs a detailed history and examination. The medical decision
making complexity is moderate. The physician revises the patient's medical care plan.

a. 99310

b. 99309

c. 99315

d. 99218

4-A 55-year-old lady is seen in the doctor’s after after two years. Physician provided medically appropriate
History and medically appropriate Physical Examination on this patient. The Medical Decision making is of
Moderate complexity and the physician spent 35 minutes with the patient. What should be correct CPT code
for this visit?

• 99212

• 99213

• 99214

• 99204
5-A 22-year-old patient came after 4 years to the doctor’s office. Physician provided low level of Medical
Decision Making after completing the medically appropriate History and Physical Examination. Identify the
correct CPT code number?

• 99213

• 99202

• 99203

• 99204
6-James, a 35-year-old new patient, received 45minutesof counseling and risk factor reduction intervention services from
Dr.Kelly. Dr.Kelly talked to James about how toavoid sports injuries. Currently, James does not have any symptoms or
injuries and wants to maintain this status. This was the only service rendered. How do you code?

a. 99213

b. 99203

c. 99385

d. 99403

7- Andrea, a 52-year-old patient, had a hysterectomy on Monday morning. That afternoon, after returning to her hospital
room, she suffered a cardiac arrest. A cardiologist responded to the call and delivered one hour and 35 minutes of critical
care. During this time, the cardiologist ordered a single view chest x-ray and provided ventilation management. How
should you report the cardiologist’s services?

a. 99291,99292

b. 99291,99292,71045, 94002

c. 71045,94002,99231

d. 99291,99292,99292-52

8-Dr. Jane admitted a 67-year-old woman to the coronary care unit for an acute myocardial infarction. The admission
included a comprehensive history, comprehensive examination, and high complexity decision-making. Dr. Jane visited the
patient on days two and three and documented(each day)an expanded problem focused examination and decisionmaking
of moderate complexity. On day four, Dr. Jane moved the patient to the medical floor and documented a problem focused
examination and straight forward decision-making. Day five, Dr. Jane discharged the patient to home. The discharge took
over an hour. How would you report the services from day one today five?

a. 99213,99232,99231, 99239x2

b. 99221,99222,99223, 99238

c. 99231,99232,99355, 99217

d. 99223,99232,99232, 99231,99239

9-Which code range would describe services for a critically ill patient, who is 23 days old as an outpatient?

a. 99291–99292

b. 99471–99446

c. 99466–99467

d. None of the above

10-The patient is 3 years old. The same physician performing the primary procedurealso provides moderate
sedation for 40 minutes (intraservice time). Proper coding is:
1 point

A. 99151
B. 99152, 99153 × 2
C. 99151, 99153
D. 99151, 99153 × 2

11-The patient is 33 years old. A different physician performing the primary procedurealso provides moderate
sedation for 28 minutes (intraservice time). Proper coding is:
1 point

A. 99155
B. 99156
C. 99156, 99157
D. 99155, 99157
12-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?

a. 99252 c. 99367

b. 99366 d. 99368