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 CPT code range covers the Medicine section?
Answer: 90000–99799
The Medicine section of CPT includes codes 90000–99799, covering immunizations, infusions, psychiatry, ophthalmology, and other medical services.
What modifier is appended to indicate that an E/M service was performed on the same day as a procedure, and the decision to perform that procedure was made at that visit?
Answer: -57
Modifier -57 indicates the E/M service resulted in the initial decision to perform a major surgery (90-day global period).
Which modifier is used to indicate that an E/M service was significant and separately identifiable from another procedure on the same day?
Answer: -25
Modifier -25 is appended to an E/M code to indicate it is a significant, separately identifiable service from another procedure performed the same day.
How should a physician report drug administration by intravenous infusion lasting 2 hours and 15 minutes?
Answer: Initial hour code plus two additional hour codes
Infusion coding uses the initial hour code plus an additional hour code for each full 30 minutes beyond the first hour; 2h15m = initial + 2 additional units.
Which code category covers therapeutic drug monitoring services in the Medicine section?
Answer: Hydration, Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (96360–96379)
IV infusions and therapeutic injections are reported using codes 96360–96379, which cover chemotherapy and non-chemotherapy infusions and injections.
Which modifier indicates a service was mandated by a government, legislative, or regulatory authority?
Answer: -32
Modifier -32 is used when a service is mandated by a payer, government, or regulatory requirement such as a court-ordered examination.