Modifiers questions with verified solution 2023

ModifiersMay affect the way payment is made by 3rd party payers - correct answer Modifiers Modifiers are used to indicate - correct answer Bilateral procedure, Multiple Procedures, Service greater than required Modifier -57 - correct answer Decision for surgery can be used with an E/M code Modifier -79 - correct answer Unrelated procedure or service by the same physician during the past. Op period - correct answer Can only be used with a surgery code Modifier -51 - correct answer Multiple procedure, can only be used with a surgery code Modifier -80 - correct answer Assistant Surgeon, is used when a 2nd surgeon provides assistance to primary surgeon Modifier -32 - correct answer Indicates a service is mandated. Ex- an insurance company requires a 2nd opinion prior to surgery Modifier -59 - correct answer Distinct procedure service indicates services that are usually bundled into one payment were provided as separate services Modifier -25 - correct answer Significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service is used to report an E/M service provided on the same day as a minor procedure performed by the same physician Modifier -58 - correct answer Staged or related procedure or service by the same physician during the post op period indicates a subsequent surgery was planned at the time of the 1st surgery Modifier -52 - correct answer Reduced services- a service was reduced without changing the definition of the code Modifier -AA - correct answer Is a HCPCS modifier- is used to report anesthesia services performed personally by anesthesiologist or when an anesthetist assists a physician ... Modifier- 99 - correct answer Multiple Modifiers Modifier- 26 - correct answer Professional component Modifier- 51 - correct answer Indicates multiple procedures Apendix A - correct answer Lists some HCPCS modifiers TC - correct answer Tecchnical component of a diagnostic procedure Modifier- 90 - correct answer Used to indicate services of an outside laboratory When two or more physicians, with technicians and specialized equipment, work together to complete a complicated procedure and each physician has a specific portion to complete. - correct answer Surgical Team This modifier indicates an increased service and is overused and results in an increase in payment of 20%-30%. As such, assignment of this modifier comes under scrutiny by 3rd party payers. - correct answer Modifier -22 When modifier -54 is assigned payment for the ___________ portion of the surgical procedure is being requested. - correct answer Inoperative