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16 Cards in this Set
- Front
- Back
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Modifier -32 is used to indicate a service is mandated. Which of the following is an example of when a service is mandated? |
When the insurance company requires 2nd opinion |
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Modifier -80, Assistant Surgeon, is used when: |
An extra pair of hands are needed |
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Modifiers may affect: |
The way payment is made |
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Modifier -51, Multiple Procedure, is used on what type of services? |
Surgery |
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Modifier -79, Unrelated procedure or service by the same physician during the postoperative period, is used on what type of service? |
Surgery |
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Modifier -57, Decision for Surgery, is used on what type of service? |
E/M |
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Modifiers are used to indicate what type of information |
Altered service Bilateral procedure Multiple procedures Professional service/Procedure only More than 1 physician/surgeon |
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Modifier -25, significant, separately identifiable E/M services by the same physician on the same day of the procedure or other services, is used to report an E/M service that was _______. |
provided by the same individual |
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Multiple modifiers are indicated with which modifier? |
Modifier -99 |
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The modifier –AA is an example of what type of modifier? |
HCPCS |
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Modifier -52, Reduced Services, is used to indicate: |
The service was reduced w/o changing the definition of the code |
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Modifier -58, Stage or related procedure or service by the same physician during the postoperative period, is used to indicate: |
That a subsequent surgery was planned or staged at the time of the first surgery |
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Modifier -59, Distinct procedure service, is used to indicate: |
Services that are usually bundled into one payment were provided as separate services |
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The modifier that indicates only the professional component of the service was provided is: |
Modifier -26 |
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The modifier that indicates multiple procedures is: |
Modifier -51 |
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_________ lists some HCPCS modifiers in the CPT manual. |
Appendix A |
