Inpatient Hospital only.
Outpatient Hospital and Ambulatory Surgery Centers (ASC)
Emergency Room services.
Surgery care only, Post-Op, Pre-op`
Pre-op, Surgery, Post-op.
Pre-op, Post-op, Surgery.
Decision for surgery, Pre-op, Post-op.
59, Only used on surgical procedure codes.
59, Only used to specify separate incision on an existing site.
59, Only used surgeons are involved.
None of the Above.
Two surgeons, two are primary.
Surgical team, one primary and one assistant surgeon.
Repeat procedure by same physician, same procedure billed.
Assistant surgeon, assistant is available for the entire operation.
Explain why the patient returned to the operating room during the post-operative period.
Comply with CMS compliance guidelines.
Only to supply information, reimbursement will not be affected.
Explain why a procedure was duplicated, usually with a report, so you will be reimbursed appropriately.
No modifier is necessary for the primary surgeon.
The board certification of the assistant surgeon.
Amount of time the assistant surgeon spends in the OR.
-81 is used to indicate the primary surgeon and -80 is for the assistant.
-80 is used for the primary surgeon, -81 for the assistant.
Be corrected if modifier -91 is used.
Cause confusion but will not affect reimbursement.
Trigger a Medicare audit for Medicare patients.
Easily be corrected using modifier -92.
-90, is used when there are testing problems with either the specimen or equipment.
-91, is used only when it is necessary to obtain subsequent (multiple) reading of a test on the same day.
-90, is used only the it is necessary to obtain subsequent (multiple) reading of a test on the same day.
-91, is used when there are testing problems with either the specimen or equipment.
Right and Left.
Never used with MOD-50.
All of the above are correct.
MOD-25, MOD-51 and MOD-82.
MOD-63, MOD-53, MOD-54, MOD-55, MOD-56.
MOD-26, MOD-50 and MOD-62
Insurance companies are required by the AMA to recognize all valid CPT modifiers.
Together, on the same claim.
In primary care.
By two different physicians, on separate claims.
To indicate whether the operation was on the left or right side of the body.