CPT Procedure Coding Flashcards
6 cards from real Certified Medical Coding Specialist practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CPT Procedure Coding flashcards as text
CPT modifier -25 is used when:
Answer: A significant, separately identifiable E/M service is performed on the same day as a procedure
Modifier -25 indicates that a significant, separately identifiable E/M service was provided by the same physician on the same day as a minor procedure.
What does the surgical package (global surgical package) in CPT include?
Answer: Pre-operative care, the surgery itself, and standard post-operative care
The CPT global surgical package includes pre-operative visits (day of surgery), the intraoperative service, and standard uncomplicated post-operative care.
Which CPT modifier indicates that a procedure was performed bilaterally?
Answer: -50
Modifier -50 is used to report bilateral procedures performed at the same operative session when the procedure code does not already indicate bilateral.
Unbundling in CPT coding refers to:
Answer: Reporting multiple codes for components of a procedure that should be reported with one comprehensive code
Unbundling is the improper practice of billing separate CPT codes for individual components of a procedure that is correctly reported with a single comprehensive code.
The National Correct Coding Initiative (NCCI) edits are designed to:
Answer: Prevent improper payment of services that should not be reported together
NCCI edits consist of procedure-to-procedure code pairs that Medicare and other payers use to prevent unbundling and improper code combinations.
Which CPT modifier is used when a procedure is discontinued after anesthesia administration?
Answer: -53
Modifier -53 is used when a physician elects to terminate a surgical or diagnostic procedure after the patient has been prepared and anesthesia administered.