E/M/Other Modifiers
Modifier -57
What is "decision for surgery"?
Bilateral procedure
HCPCS are this level of code.
What is Level II?
"PTP Edits"
What are Procedure-to-Procedure Edits?
Left foot, fourth digit
What is modifier -T3?
Modifier -62
What is Two Surgeons?
HCPCS codes are five characters long. The first character is ____, and the remaining four are _____.
What is a letter for the first character and number for the remaining? (alpha-numeric)
The three typed of NCCI Edits are _____.
What are PTP, MUE, AOC?
Modifier -E3
What is the modifier for Upper right eyelid?
What are NP, PA, clinical nurse specialist?
HCPCS codes are primarily for these kinds of items.
What are products, supplies, service and DME?
Editing system consistent with Medicare policies to eliminate improper CPT reporting and to reduce improper reimbursement.
What is NCCI? National Corrective Coding Initiative
Sarah came in to see her provider for a pesky mole. After evaluating her the provider decided to remove it. This is an example of using modifier _____.
What is modifier -25.
Phil experienced internal bleeding after his abdominal surgery. The surgeon had to take him back to the OR unexpectedly. Modifier ____ is added to the procedure code.
What is modifier -78?
HCPCS code for electrical adapter for breast pump, replacement
What is A4282?
This symbol shows the CPT is an add-on code.
What is +?
Dale had a right hip replacement last week. This week he is seeing the surgeon for his other hip. Modifier ___ would be used on the E/M code.
What is modifier -24?
Sid had a right knee replacement last week. this week he is having carpal tunnel surgery. The modifier for the procedure code is _____.
What is modifier -79?
G0101
What is a well woman's exam that includes a pelvic and breast exam?
Comprehensive Code
What is a code that represents two or more component codes?