CPC Medicine Section and Modifiers 2

Question 1

What is the correct reporting for a vaccine administration with counseling for a child under 18?

Accepted Answer

90460 for first component, 90461 for each additional component

Answer

90471 for each vaccine

Answer

90472 for the first vaccine

Answer

One flat fee code regardless of components

Question 2

In physical medicine coding, what does 'therapeutic procedure' require compared to a 'modality'?

Accepted Answer

Therapeutic procedures require direct therapist interaction; modalities do not require constant attendance

Answer

Modalities require more time than therapeutic procedures

Answer

Therapeutic procedures are always unsupervised

Answer

Modalities always require one-on-one contact

Question 3

Which modifier is used when a service or procedure is reduced or eliminated at the physician's discretion?

Accepted Answer

-52

Answer

-53

Answer

-22

Answer

-47

Question 4

What does the -GY modifier signify in Medicare billing?

Accepted Answer

Item or service is statutorily excluded from Medicare coverage

Answer

Service was not medically necessary per payer

Answer

Service was provided by a non-participating provider

Answer

Service requires advance beneficiary notice

Question 5

Which psychiatry code is used to report add-on interactive complexity during a psychotherapy session?

Accepted Answer

90785

Answer

90832

Answer

90837

Answer

90847

Question 6

When a provider performs a separate E/M service during the global period of a minor procedure (10-day global), which modifier is appropriate?

Accepted Answer

-24

Answer

-57

Answer

-58

Answer

-79