Modifiers and Their Application Flashcards

Which modifier is appended to a CPT code to indicate that a procedure was performed on the right side of the body?

Answer: -RT

Modifier -RT (Right Side) is used to indicate a procedure was performed on the right side of the body.

Modifier -25 is used to indicate:

Answer: A significant, separately identifiable E/M service on the same day as a procedure

Modifier -25 indicates that a significant, separately identifiable evaluation and management service was provided by the same physician on the same day as a procedure or other service.

Which modifier indicates that a procedure was discontinued after the patient was prepped and taken to the procedure room but before administration of anesthesia?

Answer: -73

Modifier -73 is used for discontinued outpatient/ambulatory surgery center procedures prior to administration of anesthesia.

Modifier -51 should NOT be appended to which type of codes?

Answer: Both add-on codes and E/M codes

Modifier -51 (Multiple Procedures) must not be appended to designated add-on codes or to codes listed as modifier -51 exempt, which includes E/M codes.

A surgeon performs a bilateral procedure. Which modifier is appended to identify it as bilateral?

Answer: -50

Modifier -50 is used to report bilateral procedures performed during the same operative session.

Which modifier indicates that a service or procedure has been reduced or eliminated at the physician's discretion?

Answer: -52

Modifier -52 (Reduced Services) is used when a service or procedure is partially reduced or eliminated at the physician's election.

Modifier -59 is used to indicate:

Answer: A distinct procedural service

Modifier -59 identifies a distinct procedural service that is not normally reported together but is appropriate under the circumstances.