Musculoskeletal System
Anesthesia Coding
Modifiers
E & M Category
Medicine
100

20200

What is Biopsy, muscle; superficial

100

Represented by the initial letter ā€˜P’ followed by a single digit from 1 to 6

What is Physical Status Modifiers

100

When 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure

What is modifier 62

100

Evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making.

What is cpt code 99202?

100

What does the abbreviation ESRD stand for?

What is end-stage renal disease

200

20610

What is the code for major joint or bursa arthrocentesis 

200

Anesthesia for heart transplant or heart/lung transplant

What is CPT code 00580

200

Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional

What is modifier 76

200

Established patient, when using time for code selection, 30-39 minutes of total time is spent on the date of the encounter.

What is CPT 99214

200

Immunization admin (includes percutaneous, intradermal, subcutaneous, or IM injections); 1 vaccine (single or combination vaccine/toxoid)

What is CPT 90471

300

26010

What is drainage of finger abscess: simple

300

To report moderate (conscious) sedation provided by a physician also performing the service for which conscious sedation is being provided

What is CPT codes 99151, 99152, 99153

300

*DOUBLE JEOPARDY* lower right, eyelid

What is modifier E4

300

*DOUBLE JEOPARDY* Only E&M service that does not support a New or Established patient status OR Initial or Subsequent status

What is Emergency Department CPT codes

300

Diagnostic analysis of cochlear implant, age 7 and older with subsequent reprogramming

What is CPT 92604

400

Removal of foreign body, foot: subcutaneous, complicated

What is CPT code 28193?

400

*DOUBLE JEOPARDY* Anesthesia for all closed procedures on the humerus and elbow

What is CPT 01730

400

Significant, separately identifiable E&M service by the same physician on the same day of the procedure or other service

What is modifier 25

400

One who has received professional services from the physician or another physician of the exact same specialty who belongs to the same group practice

What is an established patient?

400

Determination of refractive state

What is CPT 92015

500

Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial

What is CPT code 21248

500

Anesthesia for cesarean delivery only

What is CPT code 01961

500

Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following the initial procedure for a related procedure during the postoperative period

What is modifier 78

500

Hospital Inpatient or Observation Discharge services are based on what?

What is Time

500

*DOUBLE JEOPARDY* Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other QHP, including the provision of allergenic extract; single injection

What is CPT 95120

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