Step-by-Step chapter 14-15

Modifiers may affect

Modifiers are used to indicate what type of information.

Modifier -57, decision for surgery is used on what type of service?

Modifier -79, unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period, is used on what type of service

Modifier -51, multiple procedure, is used on what type of service.

Modifier -80, assistant surgeon is used when?

Modifier -32 is used to indicate a service is mandated. Which of the following is an example of when a service is "mandated."

Modifier -25, significant, separately identifiable E/M service by the same individual on the same day of the procedure or other srevice, is used to report an E/M service that was

Modifier -59, distinct procedure, is used to indicate that

Modifier -58, staged or related procedure or service by the same physician during the postoperative period, is used to indicate

Modifier -52 reduced services is used to indicate

The modifier "-AA" is an example of what type of modifier

Multiple modifiers are indicated with which modifier

The modifier that indicates only the professional component of the service was provided by

Mr. Jones is admitted to the ohsp by the orthopaedic surgeon for severe hip pain. The ortho surgeon provides an initial hospital visit during which it is determined that Mr. Jones had a fractured hip that will require surgical intervention. Mr. Jones is taken later that day to the OR where Dr. Ortho performs the surgical procedure to repair Mr. Jones' hip. Which modifier would you use for the hospital visit

Mrs. Smith presented to her physician's office for an office for an upper respiratory infection. The physician examines the patient and prescribes antibiotics. The physician notices the patient has a suspicious looking mole. The physician examined the mole and determined that it should be removed. The mole was removed during the same office visit. The physician bills both an E/M code and a procedure code. which modifier would you use on the E/M code

Mrs. Roberts falls at work. She claims that she is alright, but her employer's worker's compensation policy requires that she see a physician to confirm she was not injured when she fell. The physician files a claim to the worker's compensation carrier. Which modifier would you use when reporting the physician's service to the patient?

Mr. Coslett has multiple surgeries performed during the same operative session. Which modifier would you use.

What modifier would you use if you were coding only for the professional component of a diagnostic procedure.

Modifier _______ is used to indicate that services of an outside laboratory were used.

These elements would be part of the _____ history; employment, education, use of drugs.

Bruising would be an element of review of this organ?

The level of E/M service is based on?

The examination is the _____ portion ofthe E/M service

Medical decision making is based on the ____ that the physician must consider about the management of a patient's condition

The hospital inpatient services subsection is used for patient's admitted to

The request for advice or opinion from one physician to another physician is this type of service

Critical care codes are reported based on

Codes from the E/M subsection nursing facilities service are used to report services provided in nursing facilities that used to be known as

When a physician performs a preventive service, the extent of the exam is determined by the

According to information in 99468, what is the age of a neonate

According to E/M guidelines, a(n) _____ exam encompasses a complete single specialty exam or a complete multisystem exam.

Mr. Smith presents to the emergency department at the local hospital for chest pain and is seen by the ED physician on duty. The physician obtains an extended HPI, an extended ROS, and a pertinent PFSH. What is the level of history.

The physician performs an extended exam of the affected body areas and related organ systems. what is the level of the examination.

The physician must consider multiple diagnoses and management options. There is a moderate amount of date to be reviewed and the risk of complications or death is moderate. What is the level of the MDM.

A new patient presents to he physician's office at which time the physician provides a comprehensive history and exam with a high complexity MDM

An initial inpatient consultation with a detailed history, detailed exam and MDM of low complexity.

A 40-year-old established patient presents to the physician office for a preventive care exam

History and exam of the normal newborn infant in a hospital setting.

A 7-year-old female established patient to the pediatrician complaining of ear pain x3 days. A detailed history is then taken. She has associated fever of 101. Mom treated her with Tylenol. The fever this a.m. is 99. She has had some chills and cough as well as some difficulty. No nausea or vomiting. No prior history of otitis. Brother was sick earlier this week. The physician performed a detailed exam of the ENT as well as limited exam of GI, lungs and heart. Vital signs were taken in the office. The physician diagnosed the patient with otitis media and a upper respiratory infection and prescribed an antibiotic. MDM is stated to be moderate.

Clinic note: CC: Patient presents for routine examination. Subjective: Sally is a 42-year-old female patient who presents today for a routine physical exam. Objective: BP 120/80. Pelvic exam normal external genitalia. Vagina without discharge except for a scant amount of white discharge that appears normal. Cervix: Multiparous. Bimanual exam is unremarkable. All systems are within normal limits. ASSESSMENT: Normal BP. Normal pelvic exam. PLAN: endotracheal in 1 year or as needed.