COBGC Modifiers and Special Billing Flashcards
6 cards from real COBGC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 COBGC Modifiers and Special Billing flashcards as text
Modifier 25 is appended to an E&M code to indicate what?
Answer: A significant, separately identifiable E&M on the same day as a procedure
Modifier 25 indicates the E&M service was significant, separately identifiable, and above and beyond the care associated with the same-day procedure.
Which HCPCS modifier indicates that a PA, NP, or CNS acted as assistant surgeon?
Answer: Modifier AS
HCPCS modifier AS is used specifically when a physician assistant, nurse practitioner, or clinical nurse specialist serves as assistant at surgery.
When a procedure is performed during the global period of a prior surgery for an unrelated condition, which modifier is used?
Answer: Modifier 79
Modifier 79 indicates the service is unrelated to the original procedure and performed during its postoperative global period.
Which modifier indicates a return to the operating room during the postoperative period due to a complication related to the original procedure?
Answer: Modifier 78
Modifier 78 is used when a patient returns to the OR during the global period for a complication related to the initial surgery.
The global obstetric package for vaginal delivery (CPT 59400) includes how many antepartum visits?
Answer: 13 visits
The global OB package (59400) includes 13 antepartum visits, the delivery, and postpartum care per standard payer guidelines.
Which modifier indicates the same procedure was repeated by the same physician on the same day?
Answer: Modifier 76
Modifier 76 is appended when the same physician repeats the same procedure on the same day; Modifier 77 is used when a different physician repeats it.