CAC HCPCS Ambulance Service Codes, Transport Levels, and Origin/Destination Modifiers 2 — Questions and Answers
Question 1: In ambulance billing, which origin/destination modifier code represents a patient's home (residence)?
- H
- N
- R (Correct answer)
- S
Correct answer: R
The modifier 'R' designates the patient's residence as the origin or destination of the ambulance transport.
Question 2: What does origin/destination modifier 'S' represent in ambulance claims?
- Skilled nursing facility
- Scene of accident or acute event (Correct answer)
- Specialty care transport site
- Physician's office
Correct answer: Scene of accident or acute event
Modifier 'S' designates the scene of an accident or acute event as the origin or destination of ambulance transport.
Question 3: A patient is transported from a hospital to a skilled nursing facility. Which modifier combination correctly represents this transport?
- RH
- HN (Correct answer)
- SH
- NH
Correct answer: HN
The modifier combination 'HN' indicates transport from a Hospital (H) to a Skilled Nursing Facility (N).
Question 4: Which origin/destination modifier code represents a hospital in ambulance billing?
- E
- G
- H (Correct answer)
- N
Correct answer: H
Modifier 'H' designates a hospital as the origin or destination for the ambulance transport.
Question 5: When a patient is picked up at the scene of an accident and transported to a hospital, which modifier combination is used?
- RS
- SR
- SH (Correct answer)
- HS
Correct answer: SH
The modifier combination 'SH' indicates transport from the Scene (S) of an accident to a Hospital (H).
Question 6: What does origin/destination modifier 'I' represent in ambulance billing?
- Intensive care unit transfer
- Site of transfer between modes of ambulance transport (Correct answer)
- Inpatient hospital admission
- Intermediate care facility
Correct answer: Site of transfer between modes of ambulance transport
Modifier 'I' designates an intermediate transfer site, such as an airport or helipad, used when switching between transport modes.
Question 7: A patient is transported from a physician's office to the hospital following an acute episode. Which origin/destination modifier pair is used?
- PH (Correct answer)
- HP
- RS
- DP
Correct answer: PH
The modifier combination 'PH' designates transport from a Physician's office (P) to a Hospital (H).
CAC HCPCS Ambulance Service Codes, Transport Levels, and Origin/Destination Modifiers 2
In ambulance billing, which origin/destination modifier code represents a patient's home (residence)?