COBGC COBGC Modifiers and Special Billing 2

Question 1

Modifier 25 is appended to an E&M code to indicate what?

Accepted Answer

A significant, separately identifiable E&M on the same day as a procedure

Answer

Modifier 25 indicates the E&M service was significant, separately identifiable, and above and beyond the care associated with the same-day procedure.

Question 2

Which HCPCS modifier indicates that a PA, NP, or CNS acted as assistant surgeon?

Accepted Answer

Modifier AS

Answer

HCPCS modifier AS is used specifically when a physician assistant, nurse practitioner, or clinical nurse specialist serves as assistant at surgery.

Question 3

When a procedure is performed during the global period of a prior surgery for an unrelated condition, which modifier is used?

Accepted Answer

Modifier 79

Answer

Modifier 79 indicates the service is unrelated to the original procedure and performed during its postoperative global period.

Question 4

Which modifier indicates a return to the operating room during the postoperative period due to a complication related to the original procedure?

Accepted Answer

Modifier 78

Answer

Modifier 78 is used when a patient returns to the OR during the global period for a complication related to the initial surgery.

Question 5

The global obstetric package for vaginal delivery (CPT 59400) includes how many antepartum visits?

Accepted Answer

13 visits

Answer

The global OB package (59400) includes 13 antepartum visits, the delivery, and postpartum care per standard payer guidelines.

(COBGC) Certified Obstetrics Gynecology Coder Practice Test