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Chapter 22: CPT & HCPCS Level II Modifiers

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Nonphysician - answer-This can be a nurse practitioner, certified registered nurse anesthetist, certified registered nurse, clinical nurse specialist, or physician assistant. Parenteral Enteral Nutrition (PEN) - answer-Nourishment delivered using a combination of means other than the gastrointestinal tract (such as IV) in addition to via the gastrointestinal tract. Personnel modifier - answer-A modifier adding information about the professional(s) attending to the provision of this procedure or treatment to the patient during this encounter. Physical Status Modifier - answer-A two-character alphanumeric code used to describe the condition of the patient at the time anesthesia services are administered. Service-Related Modifier - answer-A modifier relating to a change or adjustment of a procedure or service provided. Supplemental Report - answer-A letter or report written by the attending physician or other health care professional to provide additional clarification or explanation. Urea Reduction Ratio (URR) - answer-A formula to determine the effectiveness of hemodia

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CHAPTER 22: CPT & HCPCS LEVEL II MODIFIERS
EXAM AND ANSWERS
Alphanumeric - answer-Containing both letters and numbers.

Ambulatory surgery center (ASC) - answer-A facility specially designed to provide
surgical treatments without an overnight stay; also known as a same-day
surgery center.

AMCC - answer-Automated Multi-Channel Chemistry- Automated organ disease
panel tests performed on the same patient, by the same provider, on the same
day.

Category II Modifiers - answer-Two characters (a number followed by the letter
P). Modifiers provides for use with Category II CPT codes you indicate a valid
reason for a portion of a performance measure to be deleted from qualification.

Class A Finding - answer-Non-traumatic amputation of a foot or an integral
skeletal portion.

Class B Finding - answer-Absence of a posterior tibial pulse; absence or decrease
of hair growth; thickening of the nail, discoloration of the skin, and/or thinning of
the skin texture; and/or absence of a posterior pedal pulse.

Class C Finding - answer-Edema, burning sensation, temperature change (cold
feet), abnormal spontaneous sensations in the feet, and/or limping.

Clinical Laboratory Improvement Amendment (CLIA) - answer-Federal legislation
created for the monitoring and regulation of clinical laboratory procedures.

CPT Code Modifier - answer-A two-character code that may be appended to a
code from the main portion of the CPT book to provide additional information.

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) - answer-A
Medicaid preventive health program for children under 21.

End-stage renal disease (ESRD) - answer-Chronic, irreversible kidney disease
requiring regular treatments.

HCPCS Level II Modifier - answer-A two-character alphabetic or alphanumeric
code that may be appended to a code from the main portion of the CPT book or a
code from the HCPCS Level II book.

Liters per minute (LPM) - answer-The measurement of how many liters of a drug
or chemical are provided to the patient in 60 seconds.

Locum tenens physician - answer-A physician who fills in, temporarily, for
another physician.

Modifier - answer-A two-character code that affects the meaning of another code;
a code addendum that provides more meaning to the original code.

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