question

Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service.

answer

-25

question

Multiple outpatient hospital E/M encounters on the same date.

answer

-27

question

Bilateral procedure

answer

-50

question

Reduced services indicates that the service provided has been required by a given person or organization, for example, a third-party payer or a governmental, legislative, or regulatory requirement

answer

-52

question

Staged or related procedure or service by the same physician during the postoperative period

answer

-58

question

Distinct procedural service may be used to identify that a procedure/service was distinct or independent from other services provided on the same day

answer

-59

question

Discontinued outpatient hospital/ambulatory surgery center (ASC) procedure prior to administration of anesthesia

answer

-73

question

Discontinued outpatient hospital/ambulatory surgery center (ASC) procedure after administration of anesthesia

answer

-74

question

Repeat procedure or service by the same physician

answer

-76

question

Repeat procedure by another physician

answer

-77

question

Unplanned return to the operating/procedure room by the same physician following the initial procedure for a related procedure during the postoperative period.

answer

-78

question

Unrelated procedure or service by the same physician during the postoperative period

answer

-79

question

Repeat clinical diagnostic laboratory test may be used for laboratory tests performed more than once on the same day on the same patient. This modifier may not be used when tests are rerun either to confirm initial results, because of testing problems with specimens or equipment or for any other reason when a normal, one-time, reportable result is all that is required

answer

-91

question

a normal healthy patient

answer

-P1

question

A patient with mild systemic disease

answer

-p2

question

A patient with severe systemic disease

answer

-P3

question

A patient with severe systemic disease that is a constant threat to life

answer

-P4

question

A moribund patient who is not expected to survive without operation

answer

-P5

question

A declared brain-dead patient whose organs are being removed for donor purposes

answer

-P6

question

CRNA service with medical direction by a physician

answer

-QX

question

CNRA service without medical direction by a physician

answer

-QZ

question

Increased Procedural Services may be reported when the work required to provide the service is substantially greater than typically required. Supportive documentation may need to be submitted to the third party payer to justify use of this modifier(that is, increased intensity, time, technical difficulty of procedure, severity of patient's condition, or physical and mental effort required)

answer

-22

question

Unusual anesthesia may be reported when general anesthesia is administered for a procedure that usually requires local anesthesia or none at all. This modifier would be attached to the appropriate code describing the anesthesia service.

answer

-23

question

Multiple procedures may be reported to identify that multiple services were provided during the same operative episode. This modifier would not be used with an anesthesia code, but it might be necessary to report if, for an example, multiple intra-arterial catheters(A-Liners) were placed via separate insertion sites during the same operative session. The first procedure listed should identify the major service provided or the most resource intensive service provided. subsequent or secondary services should be appended with modifier -51

answer

-51

question

Discontinued Procedure is appropriate for circumstances when the physician elects to terminate or discontinue a procedure, usually because of risk to the patient's well-being. However, this modifier is not meant to report the elective cancellation of a procedure before the patient's surgical preparation or induction of anaesthesia. Also the appropriateICD-10-CM code should be assigned to identify the reason for the procedure's termination or discontinuation

answer

-53

question

Anesthesia for patient of extreme age, under 1 year and over 70 (List separately in addition to code for primary anesthesia procedures)

answer

Qualifying Circumstances Code 99100

question

Anesthesia complicated by utilization of total body hypothermia (List separately in addition to code for primary anesthesia procedure)

answer

Qualifying circumstance code 99116

question

Anesthesia complicated by utilization of controlled hypotension (List separately in addition to code for primary anesthesia procedure)

answer

Qualifying circumstance code 99135

question

Anesthesia complicated by emergency conditions (specify) (List separately in addition to code for primary anesthesia procedure)

answer

Qualifying circumstance 99140

question

seeks to determine whether or not the element is present in the specimen. provides results as positive or negative

answer

Qualitative testing

question

seek to provide results with counts of a certain element in the specimen, will be performed after a qualitative shows that the element does indeed exist in that sample . provides results with numeric values

answer

Quantitative studies

question

Anesthesia services performed personally by anesthesiologists

answer

-AA

question

Medical supervision by a physician: more than four concurrent anesthesia procedures

answer

-AD

question

Monitored anesthesia care (MAC) for deep complex, complicated,or markedly invasivesurgical procedure

answer

-G8

question

Monitored anesthesia care for patient who has history of severe cardiopulmonary condotion

answer

-G9

question

Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals

answer

-QK

question

Monitored anesthesia care (MAC) service

answer

-QS

question

Medical direction of one certified registered nurse anesthesia (CRNA) by an anesthesologists

answer

-QY

question

-XE:Separate encounter

answer

HCPCS modifiers to fully describe the distinct procedural service for Medicare

question

-XP: Separate practitioner

answer

HCPCS modifiers to fully describe the distinct procedural service for Medicare

question

-XS: Separate structure (or organ)

answer

HCPCS modifiers to fully describe the distinct procedural service for Medicare

question

-XU: Unusual non-overlapping service

answer

HCPCS modifiers to fully describe the distinct procedural service for Medicare

question

-22, -23, -51, -53, -59

answer

CPT Modifiers in Anesthesia

question

-AA, -AD, -G8,-G9, -QK, -QS, -QY

answer

HCPCS Level II Modifiers in Anesthesia Coding

question

-QX, -QZ

answer

Modifiers Specific to CRNA Coding

question

-22, -26, -52, -53, -59, -GH, -TC

answer

Modifiers used in Radiology

question

Diagnostic Mammogram Converted from Screening Mammogram on Same Day

answer

-GH

question

Technical Component: Under certain circumstances, a charge may be made for the technical component alone. Under those circumstances, the technical component charge is identified by adding modifier -TC to the usual procedure number. The technical component charge can be reported only by the actual owner of the equipment. If a physician owns the equipment and also performs the professional service involved, the usual CPT code should be reported without any modifier.

answer

-TC

question

-LT, -RT,

answer

Anatomical Modifers

question

A patient is brought to the emergency room with a ruptured aortic aneurysm, and is taken immediately into surgery for operative repair. Which qualifying circumstance code is assigned to indicate that anesthesia for the surgery will be affected by the emergency status of this patient?

answer

99140

question

Which modifier is used to indicate that a pain injection performed by the anesthesiologist prior to surgery is a separate procedure from the anesthesia service?

answer

. -59

question

Which modifier would be added to the anesthesia code for the physician's services to indicate that the physician was medically directing two cases at the same time?

answer

-QK

question

Anesthesia services for repair of an abdominal aortic aneurysm in a 70-year-old Medicare patient, performed on an emergent basis. The patient also has peripheral vascular disease and uncontrolled diabetes. How are the anesthesia services coded?

answer

00770, 99140

question

Which of the following is true about coding for the services of an anesthesiologist?

answer

They can use ant CPT/HCPCS codes that describe the work they do. Question 6

question

For a 45-year-old patient with renal cell carcinoma, mild coronary artery disease, and hypertension who is not on Medicare, anesthesia services for laparoscopic partial nephrectomy would be coded as:

answer

. 50543-P3

question

When a patient has a history of a severe cardiopulmonary condition and cannot have general anesthesia, what modifier should be assigned when monitored anesthesia care is provided?

answer

-G9

question

Patient has anesthesia for radical mastectomy with internal mammary node dissection. The anesthesia was administered by a CRNA working without medical direction.

answer

00406-QZ

question

Patient has MAC anesthesia for excision of a basal cell carcinoma on the lower leg. Team care anesthesia was provided by an anesthesiologist medically directing one CRNA.

answer

00400-Qy-QS, 00400-QX-QS

question

Anesthesia services for tympanostomy with insertion of ventilating tubes for recurrent otitis media. The patient is 9 months old.

answer

00126, 99100

question

Arthrography left knee, interpretation only

answer

73580-26-LT, 73580-LT-26, 7358026LT, 73580LT26

question

X-ray, 4 views, nasal bones

answer

70160

question

X-ray of right knee, 4 views

answer

73564RT, 73564-RT

question

CT of pelvis, with contrast

answer

72193

question

Neck CT with contras

answer

70491

question

X-ray left eye, for detection of foreign body

answer

70030-LT, 70030LT

question

Scoliosis x-ray study of spine

answer

72090

question

Chest x-ray, 1 view, frontal

answer

71010

question

TMJ arthrography, interpretation only

answer

70332-26, 7033226

question

MRI of finger joint, without contrast, technical component only

answer

73221-TC, 73221TC

question

X-ray, 2 views fingers, right hand

answer

73140-RT, 73140RT

question

Cervical MRI, no contrast

answer

72141

question

X-ray teeth, right upper, left upper and left lower

answer

70310

question

X-ray, 2 views cervical spine

answer

72040

question

Right leg x-ray, 2 month old baby boy, 2 views

answer

73592-RT, 73592RT

question

Bilateral x-ray, ribs, 3 views

answer

71110

question

X-ray left elbow, 2 views

answer

73070-LT, 73070LT

question

X-ray, complete study, left hip

answer

73510-LT, 73510LT

question

X-ray exam left scapula, 3 views

answer

73010-LT, 73010LT

question

CT thoracic spine with contrast

answer

72129

question

Computed tomography, abdomen and pelvis, without contrast

answer

74176

question

Cervical myelography, interpretation only

answer

72240-26, 7224026

question

Four studies each, lutenizing hormone and FSH

answer

80426

question

Glucose tolerance test, 4 specimens

answer

82951 82952

question

Blood ethanol levels

answer

82055

question

Creatinine clearance

answer

82575

question

Folic acid RBC

answer

82747

question

Estriol

answer

82677

question

Fractionation (17-KS) ketosteroids

answer

83593

question

Western Blot & report, blood

answer

84181

question

Quantitative D-dimer degraded fibrin

answer

85379

question

PKU blood test

answer

84030

question

Prothrombin time

answer

85610

question

Vitamin E

answer

84446

question

Clotting factor VIII, 1- stage

answer

85240

question

Skin test for histoplasmosis

answer

86510

question

Parathyroid hormone

answer

83970

question

Chorionic gonadotropin, qualitative

answer

84703

question

Hepatitis C. antibody

answer

86803

question

Double strand DNA antibody

answer

86225

question

Coroner ordered autopsy

answer

88045

question

Flow cytometry, DNA analysis

answer

88182

question

Gross and microscopic autopsy, including brain

answer

88025

question

Blood catecholamines

answer

82383

question

Chlamydia culture

answer

87110

question

Forensic cytopathology for sperm

answer

88125

question

Alternative Laboratory Platform Testing is being performed using a kit or transportable instrument that wholly or in part consists of a single-use, disposable analytical chamber, the service may be identified by adding modifier -92 to the usual laboratory procedure code (HIV testing 86701-86703)

answer

-92

question

Reference (Outside Laboratory) is used widely for laboratory and pathology services. It indicates that the physician does not perform the actual test or service but, instead, sends specimens to an outside laboratory

answer

-90

question

Professional Component indicates that only the physician or professional component, rather than the technical component, is being reported

answer

-26

question

Mandated services indicates that the service provided has been required by a given person or organization, for example, a third-party payer or a governmental, legislative, or regulatory requirement

answer

-32

question

Waiver of Liability Statement on file medical necessity and waiver/advance beneficiary notes

answer

-GA

question

waived test

answer

-QW CLIA

question

thumb on left hand

answer

-FA

question

2nd digit on left hand

answer

-F1

question

3rd digit on left hand

answer

-F2

question

4th digit on left hand

answer

-F3

question

5th digit on left hand

answer

-F4

question

Great toe on left foot

answer

-TA

question

2nd digit on left foot

answer

-T1

question

3rd digit on left foot

answer

-T2

question

4th digit on left foot

answer

-T3

question

5th digit on left foot

answer

-T4

question

thumb on right hand

answer

-F5

question

2nd digit on right hand

answer

-F6

question

3rd digit on right hand

answer

-F7

question

4th digit on right hand

answer

-F8

question

5th digit on right hand

answer

-F9

question

great toe on right foot

answer

-T5

question

2nd digit on right foot

answer

-T6

question

3rd digit on right foot

answer

-T7

question

4th digit on right foot

answer

-T8

question

5th digit on right foot

answer

-T9

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