Question

1. Dermatologist performs shaving of dermal lesion, 1.5 cm on arm of patient; at same time, a 2.3 lesion was removed from the patient’s eyelid. Assign code with appropriate modifier.

QUESTION 12

1. Patient receives preoperative examination, level 4 E/M, by his PCP the day before the scheduled surgical procedure. Assign code with appropriate modifier.

QUESTION 13

1. Postsurgical patient presents to surgeon’s office for a follow-up visit; nurse reports elevated blood pressure and a prescription for hypertension is provided, resulting in a level 3 E/M examination. Assign code with appropriate modifier.

QUESTION 14

1. Surgeon in hospital setting documents multiple codes for a procedure. What modifier would the coder use to alert third-party payers that more than the allowable modifier(s) are added to a procedure or service code? Assign appropriate claim form and modifier.

QUESTION 15

1. Surgeon repaired reducible umbilical hernia on infant weighing less that 4 kg. Assign code with appropriate modifier.

QUESTION 16

1. PCP sends patient out of office for a heavy metal screening to be performed at an outside clinical laboratory. Assign code with appropriate modifier.

QUESTION 17

1. Accident victim has been declared brain dead in the ED, driver’s license relates that she is an organ donor. Arrangements are made by hospital donor team to harvest organs. Assign code with appropriate modifier.

QUESTION 18

1. On-call radiologist is called to the ED to review the four x-ray views of a skull taken by radiology technician. Assign code with appropriate modifier.

QUESTION 19

1. Excision of rectal tumor, transanal endoscopic microsurgical (TEMS) approach. Surgeon supplied regional anesthesia. Assign code with appropriate modifier.

QUESTION 20

1. During an emergency cesarean section of quadruplets, on-call physician requires another physician to assist in the delivery. Assign code with appropriate modifier.

Answer 1

11. The Current Procedural Terminology (CPT) code is 11313 and the modifier is 11302- 59

12. The Current Procedural Terminology (CPT) code is 99214-56

13. Current Procedural Terminology (CPT) code is 99213- 24

18. Current Procedural Terminology (CPT) code is 70260- 26

19. Current Procedural Terminology (CPT) code is 0184T- 47