CPC CPT Modifiers & Special Coding Situations

Question 1

Modifier -50 is used to report which type of procedure?

Accepted Answer

A bilateral procedure performed during the same operative session

Answer

Modifier -50 indicates a bilateral procedure performed during the same operative session on symmetric structures.

Question 2

Which modifier indicates that only the professional component of a service was provided by the reporting physician?

Accepted Answer

-26

Answer

Modifier -26 indicates the professional component only (physician's interpretation and report), while -TC indicates the technical component.

Question 3

Modifier -59 is used to indicate:

Accepted Answer

A distinct procedural service separate from other services performed on the same day

Answer

Modifier -59 indicates a distinct procedural service, used to bypass NCCI edits when procedures are appropriately reported together.

Question 4

Which modifier is used when a procedure is performed by a resident under the supervision of a teaching physician?

Accepted Answer

-GC

Answer

Modifier -GC indicates a service performed in part by a resident under the direction of a teaching physician, required for Medicare billing.

Question 5

Modifier -52 is appended to a CPT code when:

Accepted Answer

A service was reduced or less extensive than described

Answer

Modifier -52 indicates that a service was reduced or less extensive than the full descriptor, and reimbursement is typically reduced.

(CPC) Certified Procedural Coder Practice Test