Evaluation and management
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. James, a 35-year-old new patient, received 45 minutes of counseling and risk factor reduction
intervention services from Dr. Kelly. Dr. Kelly talked to James about how to avoid sports injuries.
Currently, James does not have any symptoms or injuries and wants to maintain this status would you
report this.This was the only service rendered. How service?
a. 99213
b. 99203
c. 99385
d. 99403
3. 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, 71010, 94002
c. 71010, 94002, 99231
d. 99291, 99292, 99292-52
4. Brandon was seen in Dr. Shaw’s office after falling off his bunk bed. Brandon’s mother reported that
Brandon and his sister were jumping on the beds when she heard a “thud.” Brandon complained of knee
pain and had trouble walking. Dr. Shaw ordered a knee x-ray that was done at the imaging center across
the street. The x-ray showed no fracture or dislocations. Dr. Shaw had seen Brandon for his school
physical six months ago. Today, Dr. Shaw documented a detailed examination and decision-making of
moderate complexity. He also instructed Brandon’s mother that if Brandon had any additional pain or
trouble walking he should see an orthopedic specialist. How should Dr. Shaw report her services from
today’s visit?
a. 99204
b. 99394, 99214
c. 99214
d. 99203
5. Adam, a 48-year-old patient, presented to Dr. Crampon’s office with complaints of fever, malaise,
chills, chest pain, and a severe cough. Dr. Crampon took a history, did an exam, and ordered a chest x-
