ASSESSMENET 9 99000
Total Mark 10
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. 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
3. 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. 99215
c. 99214
d. 99203
4. 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-ray. After reviewing the x-ray, Dr. Crampon admitted Adam to the hospital
for treatment of pneumonia. After his regular office hours, Dr. Crampon visited Adam in the
hospital where he dictated a comprehensive history, comprehensive examination, and
decision-making of moderate complexity. How would you report Dr. Crampon’s services?
a. 99214
b. 99222
c. 99204, 99222-51
d. 99223, 99214-21
5. Larry is being managed for his warfarin therapy on an outpatient basis. Dr. Nancy
continues to review Larry’s INR tests, gives patient instructions, dosage adjustment as
needed, and ordered additional tests. How would you report the initial 90 days of therapy
including 8 INR measurements?
a. 93793
b. 0074T
c. 99214
d. This services is bundled with evaluation and management services
6. 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 decision-making of
moderate complexity. On day four, Dr. Jane moved the patient to the medical floor and
documented a problem focused examination and straightforward 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 to day five?
a. 99213, 99232, 99231, 99239 x 2
b. 99221, 99222, 99223, 99238
c. 99231, 99232, 99417, 99217
d. 99223, 99232, 99232, 99231, 99239
7. Which code range would describe services for a critically ill patient who is 23 days old as a
out patient?
a. 99291–99292
b. 99304–99306
c. 99307–99310
d. None of the above
8. Mr. Johnson, a 38-year-old established patient is being seen for management of his
hypertension, diabetes, and weight control. On his last visit, he was told he had a diabetic foot
ulcer and needed to be hospitalized for this condition. He decided to get a second opinion and
went to see Dr. Myers. This was the first time Dr. Myers had seen Mr. Johnson. Dr. Myers
documented a comprehensive history, comprehensive examination, and decision-making of
high complexity. He concurred with hospitalization for the foot ulcer and sent a report back
to Mr. Johnson’s primary care doctor. How would you report Dr. Myers visit?
a. 99245
b. 99205
c. 99215
d. 99255
9. How does the CPT Professional Edition define an emergency department?
a. An organized hospital-based facility for the provision of unscheduled episodic services to
patients who present for immediate medical attention. The facility must be available 24 hours
a day.
b. An organized hospital-based facility for the provision of scheduled episodic services to
patients who present for immediate medical attention. The facility must be available 24 hours
a day.
c. An organized hospital-based facility for the care and treatment of chronically ill patients
who present for services. The facility must be available on weekends and holidays.
d. An organized outpatient-based facility for the care and treatment of unscheduled patient
who present for immediate medical attention. The facility must be available 24 hours a day.
10. Patient was in the ER complaining of constipation with nausea and vomiting when taking
Zovirax for his herpes zoster and Percocet for pain. His primary care physician came to the
ER and admitted him to the hospital for intravenous therapy and management of this
problem. His physician documented a detailed history, comprehensive examination and a
medical decision making of moderate complexity. Which E/M service is reported?
A. 99285 B. 99284 C. 99221 D. 99222
