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Who came up with this?
Modifiers
procedures
Test Your Knowledge
What's my code
100
What CPT stands for
What is Current Procedural Terminology?
100
How many numbers in a modifier
What is 2
100
If a distinct, separately identifiable PROCEDURE is provided in addition to an E/M service, you would add this modifier to the E/M code.
What is 59?
100
56 yo wants refills of metformin, levothyroxine, simvastatin.
What is a 99214?
200
According to the E/M Guidelines of the CPT manual, an established patient is one who has received professional services from the physician or another physician of the exact same specialty and subspecialty who belongs to the same group practice, within the last ______ years.
What is 3?
200
Unrelated Evaluation and Management Service by the Same Physician during a POST OPERATIVE PERIOD Suture removal appt but something else wanted...
What is modifier -24
200
If a patient comes in for a colposcopy should you bill a colposcopy and a 99213....
NO unless you do something else unrelated and if so add what modifier? 25!
200
The levels of E/M service are based on 3 key components... and how many do you have to have when you choose level of service
What is History, Examination, and Medical decision making 2 of 3
200
Pt is a 30 female that comes in for sore throat and wants a mole check and has a skin tag (which you tell her you will remove later).
What is a 99213 unless you tx w abx then it is a 99214?
300
Modifier -50
What is Bilateral Procedures
300
The cryo code that should be used for skin tags
What is the AK cryo codes?
300
There are 4 elements of a history...
What is chief complaint, history of present illness, review of symptoms, past, family, and/or social history
300
Which CPT code would you use for a patient who goes in for a blood pressure check without having to see the physician?
What is 99211
400
Who publishes the CPT codes?
What is the AMA?
400
Patient came to the office twice in one day to see the same physician for unrelated problems.
What is Modifier -25
400
How many times should one use the v70.0 code per year?
Once and only one preventative cpt code as well.
400
The (CPT) code to document a patient encounter can be determined by the amount of time spent with the patient when (check one) A. the office visit exceeds 1 hour B. counseling or coordinating care accounts for more than 50% of the face-to-face time spent with the patient C. the intensity of the visit supports a higher code than is supported by the level of history, examination, and medical decision making D. a comprehensive history and examination or complex medical decision making is conducted E. considerable time is spent outside the office visit coordinating prior authorizations or referrals on behalf of the patient
What is B? counseling or coordinating care accounts for more than 50% of the face-to-face time spent with the patient The times published for Current Procedural Terminology codes are typical for each level of office visit, but there is no requirement associated with them unless counseling or coordination of care accounts for more than 50% of the face-to-face time of the encounter. In such cases physicians are able to code on the basis of time. Ref: Hughes C: Coding and documentation. Fam Pract Manage 2006;13(10):27.
400
Pt comes in for a DM check and wants a plantar wart frozen.
What is 99213 -25 17110
500
What type of CPT may not be modified?
What is a preventative visit? But a regular office visit CPT code can be modified if with the preventative!
500
A two-year-old comes in for an initial WCE. Mom doesn't have the child's immunization record. She states the child's last shot was when he was 5 months old. Medical review and documentation of a new patient supports one element of HPI, five elements of the ROS, and a complete PFSH. The examination was 8+ organ systems. The physician orders the immunizations to be given in the office today. Immunizations given: MMR, Varicella. (CPT add modifier if applicable)
What is 99382 -25, 90471, 90472, 90707, 90716?
500
Est pt comes in for an annual physical and mentions she is depressed and would like to start Zoloft.
What is and 99213 with modifier 25