ICD-CM, CPT, & Modifier Codes

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ICD-CM, CPT, & Modifier Codes for Medical Insurance Billing and Coding Course

Mr. Coslett has multiple surgeries performed during the same operative session. Which modifier would you use?
modifier -51

modifier -51

The modifier that indicates multiple procedures is:
Modifier -51

modifier -51

Anesthesia code for a tympanostomy of the left ear performed on an 11-month-old female.

CPT Codes: 00126, 99100.

CPT Codes: 00126, 99100.

Physical status modifier P3 indicates a patient with a(n) ________ systemic disease.
Severe

Severe

Mr. Jones is admitted to the hospital by the orthopedic surgeon for severe hip pain. The ortho- surgeon provides an initial hospital visit during which it is determined that Mr. Jones has a fractured hip that will require surgical intervention. Mr. Jones is taken to the OR later that day and Dr. Ortho performs the surgical procedure to repair Mr. Jones' hip. Which modifier would you use for the hospital visit?

Modifier -57

Modifier -57

Assign a CPT anesthesia code for debridement of third-degree burns of right arm, 6% body surface area.

CPT Code: 01952.

CPT Code: 01952

________ of the CPT manual lists some HCPCS modifiers.

Appendix A

Appendix A

The society that publishes the Relative Value GuideTM for anesthesia services is the:
American Society of Anesthesiologists

American Society of Anesthesiologists

Moderate or ________ sedation is a type of sedation that may be provided by the physician performing the procedure.

Conscious

Conscious

Modifier -58, staged or related procedure or service by the same physician during the postoperative period, is used to indicate:

that a subsequent surgery was planned at the time of the first surgery.

that a subsequent surgery was planned at the time of the first surgery.

Which codes begin with the number 99 and are used to indicate anesthesia services provided during situations that make the administration of the anesthesia more difficult?

Qualifying Circumstances

Qualifying Circumstances

What modifier would you use if you were coding only the technical component of a diagnostic procedure?

Modifier: TC

Modifier: TC

In the Anesthesia section of the CPT manual, the codes are usually divided first by which of the following?
Anatomic Site

Anatomic Site

Modifier -59, distinct procedure service, is used to indicate that:
services that are usually bundled into one payment were provided as separate services.

services that are usually bundled into one payment were provided as separate services.

Assign a CPT anesthesia code and applicable modifiers for anesthesia services for a 9- month-old normal child who received anesthesia for hernia repair in the lower abdomen.

CPT Code: 00834-P1.

CPT Code: 00834-P1

Mrs. Smith presented to her physician's office for an office visit for an upper respiratory infection. The physician examines the patient and prescribes antibiotics. The physician notices the patient has a suspicious looking mole. The physician examined the mole and determined that it should be removed. The mole was removed during the same office visit. The physician bills both an E/M code and a procedure code. Which modifier would you use on the E/M code?
Modifier: -25

Modifier -25

Modifier -51, Multiple Procedure, is used on what type of services?
Surgery

Surgery

Modifier -80, Assistant Surgeon, is used when:
A second surgeon provides assistance to the primary surgeon.

A second surgeon provides assistance to the primary surgeon.

Daily hospital management of epidural, continuous drug administration.

CPT Code: 01996.

CPT Code: 01996

Assign a CPT anesthesia code and applicable modifiers for anesthesia services for an 81-year-old patient with mild systemic disease who receives anesthesia for revision of total hip arthroplasty.

CPT Codes: 01215-P2, 99100

CPT Codes: 01215-P2, 99100

When time is calculated for anesthesia services, the time begins when

the anesthesiologist begins preparing the patient for anesthesia.

the anesthesiologist begins preparing the patient for anesthesia.

What type of nurse can administer anesthesia under the direction of an anesthesiologist?
CRNA

CRNA

Modifier -79, unrelated procedure or service by the same physician during the postoperative period, is used on what type of service?
Surgery

Surgery

What modifier would you use if you were coding only for the professional component of a diagnostic procedure?
-26

Modifier: -26

The modifier"-AA" is an example of what type of modifier? HCPCS

HCPCS

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