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Modifiers are used to indicate
Bilateral procedure, Multiple Procedures, Service greater than required
Indicates a service is mandated. Ex- an insurance company requires a 2nd opinion prior to surgery
Distinct procedure service indicates services that are usually bundled into one payment were provided as separate
Significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service is used to report an E/M service provided on the same day as a minor procedure performed by the same physician
Staged or related procedure or service by the same physician during the post op period indicates a subsequent surgery was planned at the time of the 1st surgery
Is a HCPCS modifier- is used to report anesthesia services performed personally by anesthesiologist or when an anesthetist assists a physician ...
When two or more physicians, with technicians and specialized equipment, work together to complete a complicated procedure and each physician has a specific portion to complete.
This modifier indicates an increased service and is overused and results in an increase in payment of 20%-30%. As such, assignment of this modifier comes under scrutiny by 3rd party payers.
When modifier -54 is assigned payment for the ___________ portion of the surgical procedure is being requested.
Joan assigned modifier -32 to an E/M consultation code 99244. Medical records shows request was made by patient's spouse. Is Joan correct?
No, this modifier is NOT to be used to report 2nd opinion requested by a patient, spouse or another physician
Which two statements are not true about modifier -53?
Describes circumstances based on the patients preoperative condition
describes circumstances in which the patient cancelled the procedure
What is the term that describes the services provided to a patient by the physician before surgery
What is another term for the time after the surgery that the physician provides services to the patient?
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