Question

Answer the following questions. Remember to use the format CPT-4 code-modifier; when a modifier applies to the scenario. (No spaces)

example: 27510-RT

Partial Question 5 2/4 pts Endovascular repair of an infrarenal abdominal aortic aneurysm with an aorto-biac endograft with extension to the iliac bifurcation with angioplasty of the iliac bifurcation followed by placement of an extension prosthesis distal to the common iliac. 34703 34709

Answer 1

Current Procedural terminology (CPT) is a medical code set that is used to report medical,surgical,and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations.

Modifiers to apply CPT 4

prolonged E&M service

Unusual procedural service

Unusual anesthesia

Unrelated Eand M services

Professional component

Mandated service

Anesthesia be surgeon

Bilateral procedure

Multiple procedure

Reduced procedure

Discontinued procedure

Surgical care only

Post and Pre operative management only

Decision for surgery

So these are some modifiers used the code

Modifiers 25,59,91 .these three modifiers were use to code cpt 4  

For the modifiers 59 defines the distinct procedural services secnerio is

A dermatologist does a photo dynamic therapy session with BLUE machine on the face/scalp, BLU-U was reposition to treat other extremities.coding example 9656796567

For modifier25 this is separately identifiable evaluation and management services Be same physician on same day

The scenario

The patient visit the cardiologist for an appointment complaining of occasional chest discomfort during exercise. The pt has a history of HTN and high cholesterol. After the physician complete ls an office visit, it is determined the patient needs a cardiovascular stress test the same day.coding example 99214-2593015

Modifier91 used at repeat test are performed on same day by same provider to obtain repotable test values with separate specimens taken at different times.

The scenario

A pt with high BP who has been on a low salt diet may receive a plasma renin activity test in morning supine position.because physician may use variations in PRA levels due to time of day and patient position to evaluate certain conditions such as hyperaldosteronism they may order a repeat renin in afternoon with the patient standing upright for a period of time.coding example 8424484244-91

These are the code modifiers apply to scenario