EM
MODIFIERS
HCPCS
ANESTHESIA
100

The three components of MDM

What are problem, data, risk?

100

A second surgeon provides assistance to the primary surgeon

What is modifier 80?

100

DME stands for...

What is durable medical equipment?

100

P1-P6 are what type of modifiers

What is physical status

200

the 4 level for physical examination when coding E/M service (UNDER THE 95/97 GUIDELINES)

What is problem focused, expanded problem focused, detailed and comprehensive

200

modifier 25

What is: significant and separately identifiable EM service by same physician on same day of procedure or other service?

200

These modifiers indicate the patients condition at the time of anesthesia was administered.

What is physical status modifiers

200

These are the three types of anesthesia

What is regional, general and MAC (monitored anesthesia care)?

300

What are the two methods to determine the level of service for an office visit/outpatient service?

What are MDM and time-based?
300

unplanned return to the OR by the same physician following the initial procedure for a related procedure within the global period

what is mod 78?

300

codes for drugs start with ______.

what is the letter J?

300

The equation for billing a non-Medicare anesthesia payment

What is (B+T+M) x CF?

400

The three components used to determine LOS when using the 95/97 guidelines

What are History, Exam, MDM?

400

The difference between mods 76 and 77

What is: 76 is for same physician, 77 is for different physicians

performing repeat procedure

400

L1830

What is Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off the shelf?

400

Medicare payment does not care about these two modifying factor categories

What is physical status modifiers and qualifying circumstances?

500
The difference between the 95/97 and 2021 guidelines

what is: 95/97 looks at the three components, hx, exam, MDM to determine LOS

2021 looks at MDM only- it's three elements

500

the difference between mods 25 and 57

what is: mod 25 if to separate procedure from EM, mod 57 is for decision for surgery

500

The "G" codes are mainly __________ codes.

what is Medicare?

500

Anesthesia for patient of extreme age, younger than 1 year and older than 70 (LOOKING FOR THE CODE)

What is +99100?



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