Modifiers Flashcards

(38 cards)

1
Q

What are modifiers?

A

Two digit codes used to modify the code without changing the description

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2
Q

Types of modifiers

A

HCPCS
CPT

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3
Q

Features of HCPCS modifiers

A

Two alpha characters
One alpha and one numeric

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4
Q

CPT modifiers

A

Two digits

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5
Q

Modifirer for Surgical care

A

54

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6
Q

Post operative management

A

55

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7
Q

Preoperative management

A

56

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8
Q
A
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9
Q

58

A

Staged or related procedure,by same same physician or qualified professional during post operative period

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10
Q

78

A

Unplanned return following initial procedure,post operative

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11
Q

79

A

Unrelated procedure post operative

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12
Q

24

A

Unrelated e/m during post operative

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13
Q

25

A

Minor procedure with e/m

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14
Q

22

A

Services required to perform the procedure significantly greater than usually reported with the procedure

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15
Q

50

A

Bilateral procedure

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16
Q

51

A

Multiple procedure -more than one procedure at the same session

17
Q

59

A

Distinct procedure service - procedures not reported normally together. Different sessions
Different procedure
Different site

19
Q

62

A

2 surgeons as primary

20
Q

66

A

Surgical team- complex procedure,diff specialities

21
Q

80

A

Assistant surgeon for the full procedure or substantial part

22
Q

81

A

Assistant surgeon for a short time

23
Q

82

A

Assistant surgeon when qualified resident surgeon is not available. In teaching hospitals- house surgeon

24
Q

26

A

Professional component

25
TC
Technical component
26
90
Reference outside lab . Ip patient, sample collected in hospital,send to outside lab
27
28
91
Repeat diagnostic lab test
29
92
Alternative lab platform test.Eg using hiv test kit in labs
30
23
Unusual anaesthesia
31
47
Anaesthesia by surgeon
32
32
Mandated service
33
33
Preventing service
34
93
Telephone
35
95
Telemedicine
36
97
Rehabilitation services
37
96
Habilitative
38