CPC CPT Modifiers & Special Coding Situations 3

Question 1

Add-on codes in CPT are identified by which notation and are NEVER reported:

Accepted Answer

A '+' symbol; never reported without a primary procedure code

Answer

A '*' symbol; never reported more than once per encounter

Answer

A '†' symbol; never reported for bilateral procedures

Answer

A '#' symbol; never reported without modifier -51

Question 2

Modifier -51 (multiple procedures) is appended to which code when multiple procedures are performed?

Accepted Answer

The secondary and additional procedures, not the primary

Answer

The primary (highest-valued) procedure code

Answer

All procedure codes reported

Answer

The add-on codes only

Question 3

Category III CPT codes are used for:

Accepted Answer

Emerging technology, services, and procedures for data collection

Answer

Evaluation and management services only

Answer

Supplemental tracking of performance measures

Answer

Anesthesia services only

Question 4

When reporting anesthesia services, which time unit formula is used for CMS?

Accepted Answer

(Base units + Time units) × Conversion factor

Answer

(Time units only) × Conversion factor

Answer

(Base units only) × Conversion factor

Answer

Base units + (Time units × Conversion factor)

Question 5

Which modifier is used to indicate that a service was performed by a nurse practitioner or physician assistant acting as the primary provider?

Accepted Answer

-SA

Answer

-GC

Answer

-GE

Answer

-GF

Question 6

HCPCS Level II codes are used primarily to report:

Accepted Answer

Supplies, equipment, non-physician services, and drugs not covered by CPT

Answer

Physician services covered by private insurance

Answer

Inpatient hospital diagnoses

Answer

Outpatient diagnosis codes