COC Modifiers and Their Application 2 — Questions and Answers
Question 1: Which modifier is appended when a procedure or service is greater than usually required?
- -22 (Correct answer)
- -23
- -24
- -25
Correct answer: -22
Modifier -22 (Increased Procedural Services) is used when the work required to provide a service is substantially greater than typically required.
Question 2: Modifier -76 is used to report:
- Repeat procedure by a different physician
- Repeat procedure by the same physician (Correct answer)
- Unrelated procedure by the same physician
- Staged procedure by the same physician
Correct answer: Repeat procedure by the same physician
Modifier -76 indicates that a procedure or service was repeated by the same physician subsequent to the original procedure or service.
Question 3: Which modifier is used to report an assistant surgeon's services?
- -62
- -66
- -80 (Correct answer)
- -82
Correct answer: -80
Modifier -80 (Assistant Surgeon) is used when a physician acts as an assistant during surgery performed by another physician.
Question 4: Modifier -TC (Technical Component) is a HCPCS modifier used to report:
- The physician's interpretation only
- Only the technical/equipment portion of a diagnostic test (Correct answer)
- The global service including both components
- A teleconsultation service
Correct answer: Only the technical/equipment portion of a diagnostic test
Modifier -TC identifies only the technical component (equipment, supplies, technician) of a diagnostic procedure, separate from the professional interpretation.
Question 5: Which modifier indicates a co-surgery situation where two surgeons perform distinct parts of a procedure simultaneously?
- -62 (Correct answer)
- -66
- -80
- -82
Correct answer: -62
Modifier -62 (Two Surgeons) is used when two surgeons each perform a distinct part of a reportable procedure, each reporting the same CPT code with modifier -62.
Question 6: Modifier -26 appended to a radiology code indicates:
- The service was performed globally
- Only the professional/physician interpretation component (Correct answer)
- Only the technical component
- The procedure required additional work
Correct answer: Only the professional/physician interpretation component
Modifier -26 (Professional Component) identifies only the physician interpretation and report portion of a diagnostic procedure.
Question 7: Which modifier should be used when a procedure is unrelated to the postoperative period of a previously performed procedure by the same physician?
- -24 (Correct answer)
- -25
- -57
- -58
Correct answer: -24
Modifier -24 (Unrelated E/M Service by the Same Physician During a Postoperative Period) is used to indicate that an E/M service was provided for a reason unrelated to the original procedure.
COC Modifiers and Their Application 2
Which modifier is appended when a procedure or service is greater than usually required?