CPT Modifiers Quiz
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- 1.Increased procedural services
- A.
24
- B.
22
- C.
25
- D.
26
- 2.Anesthesia by surgeon
- A.
25
- B.
27
- C.
52
- D.
47
- 3.Staged or related procedure or service by the same physician during the postoperative period
- A.
99
- B.
52
- C.
58
- D.
62
- 4.Discontinued procedure
- A.
53
- B.
32
- C.
66
- D.
73
- 5.Discontinued outpatient hospital/ambulatory surgery center (ASC) procedure after administration of anesthesia
- A.
47
- B.
81
- C.
74
- D.
82
- 6.Unrelated procedure or service by the same physician during the postoperative period
- A.
73
- B.
79
- C.
80
- D.
60
- 7.Multiple modifiers
- A.
99
- B.
91
- C.
62
- D.
66
- 8.Modifiers -73 and -74 are most appropriate in:
- A.
Inpatient Hospital only.
- B.
Home Health.
- C.
Outpatient Hospital and Ambulatory Surgery Centers (ASC)
- D.
Emergency Room services.
- 9.What is the correct order of the following three modifiers:-54, -55, -56.
- A.
Surgery care only, Post-Op, Pre-op`
- B.
Pre-op, Surgery, Post-op.
- C.
Pre-op, Post-op, Surgery.
- D.
Decision for surgery, Pre-op, Post-op.
- 10.Distinct Procedural Services, modifier _____ is:
- A.
59, Only used on surgical procedure codes.
- B.
59, Only used to specify separate incision on an existing site.
- C.
59, Only used surgeons are involved.
- D.
None of the Above.
- 11.Modifier -62, _________ is used:
- A.
Two surgeons, two are primary.
- B.
Surgical team, one primary and one assistant surgeon.
- C.
Repeat procedure by same physician, same procedure billed.
- D.
Assistant surgeon, assistant is available for the entire operation.
- 12.The reason you used modifiers -76, -77 is to:
- A.
Explain why the patient returned to the operating room during the post-operative period.
- B.
Comply with CMS compliance guidelines.
- C.
Only to supply information, reimbursement will not be affected.
- D.
Explain why a procedure was duplicated, usually with a report, so you will be reimbursed appropriately.
- 13.When using modifier -80, assistant surgeon, the primary surgeon must use modifier:
- A.
Modifier -81.
- B.
Modifier -66.
- C.
Modifier -62.
- D.
No modifier is necessary for the primary surgeon.
- 14.The main difference between modifier -80 and modifier -81 is:
- A.
The board certification of the assistant surgeon.
- B.
Amount of time the assistant surgeon spends in the OR.
- C.
-81 is used to indicate the primary surgeon and -80 is for the assistant.
- D.
-80 is used for the primary surgeon, -81 for the assistant.
- 15.Billing mistakes because the appropriate aoutside reference laba modifier was not used, could:
- A.
Be corrected if modifier -91 is used.
- B.
Cause confusion but will not affect reimbursement.
- C.
Trigger a Medicare audit for Medicare patients.
- D.
Easily be corrected using modifier -92.
- 16.
- A.
-90, is used when there are testing problems with either the specimen or equipment.
- B.
-91, is used only when it is necessary to obtain subsequent (multiple) reading of a test on the same day.
- C.
-90, is used only the it is necessary to obtain subsequent (multiple) reading of a test on the same day.
- D.
-91, is used when there are testing problems with either the specimen or equipment.
- 17.Evaluation and Management services were performed on an established patient in which the decision to perform a major surgery scheduled for the following morning was made. The patient was counseled for 15 minutes regarding treatment options, risks, and projected outcome. Which of the following modifiers would be appended to the service performed?
- A.
-56
- B.
-52
- C.
-50
- D.
-57
- 18.When a patient is in a postoperative period and returns to the operating room for an unrelated procedure by the same physician, which of the following modifiers would you attach to the procedure being performed?
- A.
-59
- B.
-24
- C.
-78
- D.
-79
- 19.When two surgeons work together as primary surgeons performing distinct part(s) of a single reportable procedure, each surgeon should report his/her distinct operative work by adding which of the following modifiers?
- A.
-54
- B.
-66
- C.
-59
- D.
-62
- 20.Which modifier is used to describe a CLIA waived test?
- A.
QP
- B.
QW
- C.
GA
- D.
SG
- 21.Which modifier indicates diagnostic mammogram converted from screening mammogram on the same day?
- A.
-59
- B.
-58
- C.
-AT
- D.
-GH
- 22.Anesthesia-related modifiers include:
- A.
-23; -47.
- B.
-58; -59.
- C.
-32; -34.
- D.
-90; -91.
- 23.The modifier -RT and -LT are:
- A.
Right and Left.
- B.
Never used with MOD-50.
- C.
HCPCS modifiers.
- D.
All of the above are correct.
- 24.Which group of modifier below, are most likely NOT to be recognized by insurance carriers?
- A.
MOD-25, MOD-51 and MOD-82.
- B.
MOD-63, MOD-53, MOD-54, MOD-55, MOD-56.
- C.
MOD-26, MOD-50 and MOD-62
- D.
Insurance companies are required by the AMA to recognize all valid CPT modifiers.
- 25.Modifiers -54 and -55 most likely would be used.
- A.
Together, on the same claim.
- B.
In primary care.
- C.
By two different physicians, on separate claims.
- D.
To indicate whether the operation was on the left or right side of the body.
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