Modifiers
This modifier is used when it is a repeat procedure, but a different provider
What is Modifier -77
What animal hibernates the longest
What is a Snail. Snails can hibernate up to 3 years
Diagnosis codes are coded to this level when the medical record documentation supports it
What is the highest level of specificity
Name the Coding Educators for the Hospital Services POD
Who is Lealani and Keioshonna
What is the only food that never goes bad
What is Honey? Archaeologists found 3,000-year-old honey in Egypt that was still edible
Medicaid requires this modifier for a distinct and separate procedure
What is Modifier -59
What beloved movie character was almost called ‘Lunar Larry
Buzz Lightyear
If a patient is admitted for an HIV-related condition, the principal diagnosis should be coded as
What is B20
Location of the CDU presentation
What is Coding Education's Intranet page
What’s the smallest country in the world
What is the Vatican City. The country is only 0.19 square miles.
This modifier is used to identify a professional component
What is modifier 26
In the city of Gainesville in Georgia, what does the law prohibit being eaten with a fork
What is Fried Chicken. Gainesville made the law in 1961 as a way to promote the city as the ‘poultry capital of the world’
This is a US Medicare unit of service claim edit applied to Medical claims against a procedure code for medical services rendered by one provider to one patient on one day
What is a MUE (Medically unlikely edit) edit
NCCI P TP edits are...
What is Procedure to Procedure bundling?
What US state grows the most coffee beans
What is Hawaii? The largest coffee farm in the United States is Hawaii’s Kauai Coffee Estate
This modifier is used for a significant, separately identifiable E &M service by the same physician or other qualified Health care professional on the same day of the procedure or other services
What is modifier -25
How many miles is a full marathon
What is 26.2? Rumor is, in 1908, Queen Alexandra wanted the marathon to start at Windsor Castle and finish at the Olympic stadium. It was exactly 26.2 miles.
This is a decision or determination made by a Medicare Administration Contractor (MAC) whether to cover a particular item or service in a MAC’s jurisdiction
What is a Local Coverage Determination (LCD)
What you find on Medicare Coverage Database
What is NCD, LCD, and Coverage articles
How many balls are on the table during a pool game
What is 16? There are 15 numbered balls and one white cue ball.
This modifier is used to identify a bilateral procedure
What is modifier -50
What is the top-selling product at Walmart
What is Bananas? Rumor is Walmart sells 1.5 billion pounds of bananas a year.
This is the residual effect (condition produced) after the acute phase of an illness or injury has terminated
What is a late effects or sequela
When does CPT and ICD10 update each year
What is June 1 for CPT and October 1 for ICD10
Which of the seven natural wonders of the world is found in Africa
What is Victoria Falls. The falls along the Zambezi River are also called Thundering Smoke and Boiling Water