Modifiers
ICD-10
Coding Concepts
Procedural Coding
Surgery
100

This modifier is used when a procedure is planned as a staged surgery.

What is modifier 58?

100

This is the number of characters in a fully expanded ICD-10 Dx code.

What is seven?

100

This set of alphanumeric CPT codes,often beginning with G, is used by Medicare for specific services not covered by CPT.

What are the HCPCS level II codes?

100

This term refers to the visual examination of the esophagus, stomach and duodenum with a flexible scope.

What is an esophagogastroduodenoscopy(EGD)

100

This is where you would find surgical procedure performed on the Kidneys.

What is the Urinary System?

200

What is the maximum number of modifiers that can be appended to a single CPT code?

What is four?

200

The placeholder character used in ICD-10-CM when the 7th character is required but no other character exist in that position.

What is x?

200

This term refers to the period of preoperative, intraoperative and post operative care included in a single CPT code. 

What is the global surgical package.?

200

This term refers to a surgical procedure performed with small incisions and a camera.

What is a laparoscopic surgery?

200

This CPT code is used for an open strangulated inguinal hernia in an adult.

What is 49507?

300

This modifier is used when a procedure is performed in the postoperative period but unrelated to the original surgery.

What is modifier 79?

300

This code should be used when documentation states that a condition is suspected or possible but has not been confirmed, in an outpatient setting.

What is the code for the patients signs and symptoms.

300

This is the number of digits in a standard CPT code.

What is five?

300

This procedure coded as 43260 involves the use of endoscope to examine and treat the bile ducts. 

What is an endoscopic retrograde cholangiopancreatography (ERCP)?

300

This phrase appears in CPT to indicate a procedure is typically included as a part of a more extensive procedure and should not be coded unless performed independently.

What is a separate procedure?

400

A modifier added to a CPT code when a physician performs multiple distinct procedures on the same day.

What is modifier 59?

400

When a patient has multiple chronic conditions this factor determines the order of diagnosis codes.

What is the condition chiefly responsible for the visit?

400

As of 2021, these two key components determine the level of E/M service for office visits.

What are medical decision-making and total time spent?

400

This diagnostic procedure involves inserting a catheter into a heart chamber to evaluate function.

What is a cardiac Catheterization?

400

This is where you find instructions for reporting Unlisted Procedure or Service.

Where is the Introduction to CPT?

500

This is the modifier used to indicate a resident was involved in the service performed. 

What is the GC modifier?

500

If a patient present with an Acute and Chronic condition, what should be coded first?

What is the Acute Condition?

500

When coding for an excision of a lesion, this factor determines the CPT selection.

What is the type of lesion and size of the lesion?

500

If a minor procedure designated as a separate procedure is performed as part of a larger surgery, this is how it should be coded?

What is not coded separately because it's bundled into the larger procedure?

500

This CPT code is used for Trochanteric Femur Fracture.

What is 27248?

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