Ch 5.6 Assigning Modifiers
A. What is the meaning of each of the modifiers used in the following case example? A multitrauma patient had a bilateral knee procedure as part of team surgery following a motorcycle crash. The orthopedic surgeon also reconstructed the patient’s pelvis and left wrist.
1. 99 2. 66 3. 51 4. 50
Supply the correct codes and modifiers for these cases.
B. A surgeon administers a regional Bier block and then monitors the patient and the block while repairing the flexor tendon of the forearm.
C. Primary care provider performs a frontal and lateral chest X-ray and observes a mass. The patient is sent to a pulmonologist, who, on the same day, repeats the frontal and lateral chest X-ray. How should the pulmonologist report the X-ray service?
D. A day after surgery for a knee replacement, the patient develops an infection in the surgical area and is returned to the operating room for debridement. Which modifier is attached to the second procedure?
Homework Answers
A. 1. 99 multiple modifiers
2. 66 surgical team
3. 51 multiple procedures (knee, pelvis, left wrist repair)
4. 50 bilateral procedure (knee surgery, both knees)
B. 25260 47
Repair; Arm; Lower
The correct code must be selected by reviewing the choices in the Surgery section from the code range given in the CPT Index (25620-25263, 25270).
C. 71020 77 X-ray; Chest
Note: The correct code must be selected by reviewing the choices in the Radiology section from the code range given in the CPT Index (71010-71035); the procedure is a repeat procedure by another physician.
D. 78
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