Medicine Section and Modifiers Flashcards
6 cards from real CPC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Medicine Section and Modifiers flashcards as text
Which modifier indicates a service was performed by a resident under the supervision of a teaching physician?
Answer: -GC
Modifier -GC indicates that a service was performed in part by a resident under the direction of a teaching physician.
What does the -KX modifier indicate in Medicare billing?
Answer: Requirements specified in the medical policy have been met
Modifier -KX is used to attest that the coverage criteria specified in an applicable Medicare Local Coverage Determination (LCD) have been met.
Which ophthalmology code type describes a complete eye examination including history, general medical observation, and basic sensorimotor examination?
Answer: Comprehensive ophthalmological service
A comprehensive ophthalmological service includes a complete history, general medical observation, external and ophthalmoscopic examination, and basic sensorimotor testing.
In dialysis coding, which code describes the outpatient End Stage Renal Disease (ESRD) monthly capitation payment for an adult patient?
Answer: 90951–90962
ESRD monthly capitation payment codes 90951–90962 are used for patients receiving dialysis services, stratified by age and number of physician visits per month.
Which modifier is appended by the facility (not the physician) when a procedure is discontinued after anesthesia induction but before the surgical incision?
Answer: -74
Modifier -74 is used by the outpatient facility when a procedure is discontinued after anesthesia administration due to extenuating circumstances.
What is the appropriate code for a prolonged office service lasting 30 additional minutes beyond the total time for the highest-level established patient E/M?
Answer: 99417
CPT 99417 is the add-on code for each additional 15 minutes of prolonged outpatient E/M time beyond the required time for 99205 or 99215.