Question

to stay in Protected view Enable to Working with CPT Modifiers Worksheet Complete Parts A and B. Part A Resource: Table 5.2 of Medical Insurance: A Revenue Cycle Process Approach (7th ed.) Complete the exercise by identifying the correct Current Procedural Terminology (CPT) modifier to its corresponding procedure for the following: Bilateral procedures Multiple procedures Repeat clinical diagnostic laboratory test Unusual anesthesia Mandated services Part B Resource: Ch. 5 of Medical Insurance: A Revenue Cycle Process Approach (7th ed.) Complete the following table. Determine the correct modifier that would be used for billing. Procedure Modifier options Patient had carpal tunnel surgery performed on both wrists, Patient had a lumbar puncture at 01:00 with a repeat lumbar puncture at 05:00 Professional component: reading radiology examination Copyright 2019 by Univery of Phoen

Answer 1

1) Modifier 50 - Bilateral procedure. This codes indicate performance of surgery by a surgeon at same session but in two different regions. Here carpal tunnel surgery is performed in two wrists.

2) Modifier 76 - This is coded when procedure is repeated on a same day by same physician. In this scenario lumbar puncture is done on 1:00 and repeated again on 5:00 of same day.

3) Modifier 26 : Radiological procedures done by a technician but the report interpretation is done by a physician is reported with mod 26.

4) Modifier 59 - Physician performing evaluation and due to certain circumstances he performed a procedure to remove lesions in the arm it is considered as distinct procedure.

5) Modifier 25 : Evaluation and management service is defined as time based codes , assessment done in a physician office. The procedure performed under E/M service can be appended with modifier 25

6) Modifier 55 : this modifier helps to understand global surgic package and the physician append modifier 55 only to the service of treating post operative infections.