Chapter 14
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Inform third-party payers of circumstances that may affect the way payment is made. | show 🗑
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| Appendix of the CPT manual that lists the full description for all modifiers and circumstances for their use. | show 🗑
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| show | Altered service, bilateral procedure, multiple procedures, professional part of the service/procedure only, and/or more than one physician/surgeon.
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| show | True
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| show | National level modifiers
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| CPT modifiers are known as? | show 🗑
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| CPT Codes are Level? | show 🗑
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| HCPC codes are level? | show 🗑
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| The National codes are also known as? | show 🗑
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| Modifier that indicates the service was greater than usual and required increased physician work above and beyond normal. | show 🗑
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| show | Special report
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| There is usually a payment increase of _____ to _____ for services that qualify for the use of modifier -22. | show 🗑
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| CMS developed __________ to promote national correct coding methods and to control improper coding leading to inappropriate payment in Part B claims. | show 🗑
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| According to The Medicare Claims Processing Manual 100-04, "Physicians and suppliers are subject to a _____ % reduction if their claims are processed more than _____ months after services are rendered. | show 🗑
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| show | Modifier -23
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| show | anesthesiologist/nurse anesthetist
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| show | Modifier -24
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| The postoperative period for a major surgical procedure is? | show 🗑
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| show | 10 days
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| show | Modifier -25
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| show | Modifier -26
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| show | Modifier _32
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| Modifier used to report a surgical procedure in which the surgeon administered regional or general anesthesia to the patient. | show 🗑
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| show | True
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| show | Modifier -50
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| show | False
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| show | Modifier -51
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| show | The procedure with the highest relative value unit.
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| show | Unbundling
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| show | Same operation, different site; multiple operations, same operative session; procedure performed multiple times.
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| Modifier used to indicate that a service was provided but was reduced in comparison to the full description of service. | show 🗑
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| show | Modifier -50
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| show | Modifier -25
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| Which modifier indicates anesthesia administered by a surgeon? | show 🗑
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| show | Modifier -23
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| show | Modifier -53
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| show | Modifier -54
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| show | Modifier -55
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| Modifier added to the surgical code if a physician provides only the preoperative management to a patient in preparation for surgery. | show 🗑
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| show | Modifier -57
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| show | E/M codes
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| show | Modifier -58
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| True/False A new global period begins with each subsequent procedure modified with -58. | show 🗑
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| show | Modifier -59
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| Lists of codes that cannot be reported together and have been established to ensure that providers do not report services that are included in a pre-established bundle. | show 🗑
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| show | Modifier -55
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| Using the CPT manual, locate the modifier that would be added to indicate a discontinued procedure. | show 🗑
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| Which modifier would you use to indicate care provided to the patient prior to surgery? | show 🗑
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| Which modifier would you report to indicate a staged procedure? | show 🗑
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| Modifier that indicates two surgeons acted as co-surgeons which used different skills during the surgery. | show 🗑
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| show | Modifier -63
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| Modifier used with very complex surgical procedures that require several physicians, usually different specialties, to complete the procedure. | show 🗑
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| Consists of physicians (more than two), technicians, and other trained personnel who function together to complete a complex procedure. | show 🗑
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| show | Modifier -76
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| show | Modifier -77
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| Modifier is assigned to indicate a circumstance in which a patient is returned to the operating room for surgical treatment of a complication that resulted from the first procedure. | show 🗑
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| show | Operating/procedure room
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| show | Modifier -79
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| One who provides service (an extra pair of hands) to the primary surgeon during a surgical period. | show 🗑
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| An assistant surgeon's services are reported using the same codes as the primary surgeon's, but what modifier is added to alert the third-party payer to the assistant surgeon's status? | show 🗑
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| Usually, the assistant surgeon receives ____% to _____% of the usual charge for a surgery when acting in the assistant capacity. | show 🗑
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| A physician assistant providing assist at surgery would us the HCPCS modifier______, not modifier -80. | show 🗑
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| Modifier indicates and assistant surgeon who provides services that are less extensive in which the assistant surgeon is present and assists for only a portion of the procedure. | show 🗑
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| show | Modifier-82
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| Physicians who are completing a required surgical training period in the hospital during which they serve as employees of the hospital who are there to receive training and provide assistance as a part of the hospital's agreement with the school. | show 🗑
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| show | Teaching facilities
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| show | Modifier -90
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| show | Modifier -91
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| Modifier that reports those incidents when a kit or transportable instrument is used in a lab test. | show 🗑
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| show | Modifier -99
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| show | No
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| show | Modifier -99
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| When the same procedure is performed on a mirror-image part of the body, indicating: | show 🗑
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| What is the term that means assigning multiple codes when one code would do? | show 🗑
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| show | Postoperative services
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| show | Co-surgeons
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| show | -50
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| Dr. Miles sees a patient whom he sends to the laboratory for a blood clotting test. The patient then receives a medication and returns to the lab later that same day for a repeat test. The second laboratory test would need which modifier? | show 🗑
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| The physician performs a service for which there is only a bilateral code in the CPT manual, but the physician performed the service unilaterally. Which modifier would you use to indicate this unilateral service? | show 🗑
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| Dr. Evans, a reconstructive surgeon, has a two-stage procedure planned for reconstruction of a cleft palate. The second procedure performed within the global period would require which modifier?? | show 🗑
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