Question

For this week's post, refer to the list of Level II HCPCS Modifiers located on the back of the cover page of your CPT codebook. Provide two CPT codes with two Level II HCPCS modifiers and explain the coding scenarios that you've selected.

Answer 1

Medical coding is the process of converting health care procedures,diagnosis and services into universally accepted standard codes that will be helpful for the medical billing and insurance process.

The medically-coded charts help the government to maintain a database or health records and statistics that can be used to guide policy makers to draft healthcare policies.

The Healthcare Common Procedure Coding System (HCPCS) is a coding system same as like that pf the Current Procedural Terminology (CPT) coding system.

HCPCS coding modifiers is classified in to Level I and Level II.The Level II HCPCS is a standard coding system used primarily to identify products,supplies and services not included in the CPT-4 codes.

We can see the classification of CPT codes with Level II HCPCS modifiers are as follows:

*Anesthesia Physical status modifiers:

The Anesthesia Physical Status modifiers will affect the provider reimbursement

*Anesthesia Modifiers

The Anesthesia modifiers will also affect the provider reimbursement

*Ambulance Modifiers

The Ambulance Modifiers do not affect provider reimbursement

*Site specific Modifiers

The site specific Modifiers do not affect provider reimbursement

$\rightarrow$ Anesthesia Physical Status Modifiers

Modifier	Brief Description	Range of CPT codes where modifier may apply
P1	A normal healthy patient	00100-01999
P2	A patient with mild systemic disease	00100-01999
P3	A patient with severe systemic disease	00100-01999
P4	A patient with severe systemic disease that is a constant threat to life	00100-01999
P5	A moribund patient who is not expected to survive without the operation	00100-01999
P6	A declared brain-dead patient whose organs are being removed for donor purpose	00100-01999

$\rightarrow$ Site Specific Modifiers

Modifier	Brief Description	Range of CPT codes where modifier may apply
E1 E2 E3 E4	Upper left,eyelid Lower left,eyelid Upper right,eyelid Lower right,eyelid	10021-68899

$\rightarrow$ The CPT code used in Anesthesia Physical Status Modifier is 00100-01999,These are theCPT codes used for anesthesia for head,neck,thorax,intrathoracic,spine and spinal cord,upper abdomen,lower abdomen,perineum,pelvis except hip,upper leg except knee,knee and popliteal area,lower leg below knee,shoulder and axillary,upper arm and elbow,fore arm,wrist and hand,radiological procedures,burns excisions or debridement,obstetric,other procedures.

$\rightarrow$ The CPT code used for Site Specific Modifiers are 10021-68899.These are the CPT codes used for Surgery for general,integumentary system,musculoskeleteal system,respiratory system,cardiovascular system,hemic and lymphatic systems,mediastinum and diaphragm,digestive system,urinary system,male genital system,reproductive system and intersex,female genital system,maternity care and delivery,endocrine system,nervous system,eye and occular adnexa.