Modifiers
Name an NCCI modifier
59, XE, XU, XP, XS
National Correct Coding Initiative modifiers that demonstrate a charge that is "unbundled" due to specific exception Criteria.
Longest Bone in the body
The Femur
Hardening of the arteries
Arteriosclerosis
Radiology codes begin with what number?
Anything in 7xxxx series is considered radiology.
What letter is used as a placeholder character?
The Letter X is used as a placeholder to also allow for future growth and advancement.
Modifier used when a physician performs a "reading" or professional component of a service such as a radiology code.
What is modifier -26
Chambers of the heart
4: right atrium, right ventricle, left atrium and left ventricle.
Bluish discoloration of skin
Cyanosis.
CPT ICON + means this?
Add on Code. Report this CPT code in addition to primary code.
T/F: Excludes 1 note in ICD-10 means DO NOT CODE both the code excluded and the code noted in Excludes 1.
True. Code the note that is listed as the EXCLUDES 1
Name a "global" modier
How fast does air leave your body when you sneeze?
10 MPH 50 MPH
25 MPH 100 MPH
100 MPH!
Suffix that describes surgical removal of a body part
-ectomy
Lumpectomy removal of a lump; tonsillectomy removal of tonsils; appendectomy removal of appendix.
What is an MUE?
Medically Unlikely Edits. Some CPT codes have units that are allowed to be billed per claim/calendar day. This includes drugs.
T/F: "With" or "in" links two conditions without physician needing to declare it.
True: ICD-10 presumes a causal relationship between two conditions even in the absence of provider documentation explicitly linking them. Hypertension and ESRD,
Modifier 80
What is an Assistant surgeon modifier who is MD.
Most common bone to break in the body?
Collarbone/Clavicle
Serious allergic reaction that is rapid in onset and can cause death.
Anaphylaxis
New patient E&M is one who has not seen same physician/same subspecialty in how many years?
3 Years
ICD-10 code for "Cough"
R05.9
>Cough R05.9 (default code)
Locum Tenens
What is Q6 modifier. Locum tenens is a Latin phrase that means "to hold the place of, to substitute for.". When there is a substitute physician, Q6 modifier is appended to lines.
Name of an artery in the leg
Iliac artery (common, external, iliac); femoral artery; popliteal; tibial, peroneal etc.
Suffix -itis mean?
Inflammation like bursitis and arthritis.
According to CPT index, if you go to "Repair", what term will CPT also suggest you go to?
Revision: "Repair --See Also Revision".
As of 10/1/2021 how many ICD-10 codes are there (closest wins) and there are a LOTTTTTTTTTT!
72,748 for 10/1/2021.