COC Chapter 11 Review 2020 Accelerated Outpatient Hospital Coding for COC Preparation with 100% Correct Answers | Latest Update 2024 | Rated A+

When is modifier 27 appended to the E/M service? - Hospitals may append modifier 27 to each E/M code when more than one E/M service is provided to indicate the E/M service is a "separate and distinct E/M encounter" from the service previously provided that same day in the same or different hospital outpatient setting. The reason to use modifier 76 is to: - Modifier 76 is used to report a procedure or services is repeated by the same physician subsequent to the original procedure or service. A physician inserted an implantable dual chamber, nonrate-responsive, pacemaker in the hospital outpatient department. Provide the HCPCS Level II code for the pacemaker device. - Look in the HCPCS Level II Index for Pacemaker/dual chamber/non-rate responsive and you are directed to C2619. Which appendix can be helpful when determining the order of vessels for selective catheterization? - Appendix L illustrates vascular "families" that emerge from the aorta using brackets to identify the order of vessels: First, Second, Third, and Beyond Third Order of vascular branches. Which statement is TRUE regarding the CPT® Assistant? a. The CPT® Assistant contains information about OCE edits. b. Information in the CPT® Assistant should not be used for appealing insurance denials. c. The CPT® Assistant is considered an official resource. d. Status Indicators and APC assignment can be found in the CPT® Assistant. - The CPT® Assistant is considered an official resource and should be utilized to ensure accurate coding.