CPC Medicine Section and Modifiers 3

Question 1

Which modifier indicates a service was performed by a resident under the supervision of a teaching physician?

Accepted Answer

-GC

Answer

Modifier -GC indicates that a service was performed in part by a resident under the direction of a teaching physician.

Question 2

What does the -KX modifier indicate in Medicare billing?

Accepted Answer

Requirements specified in the medical policy have been met

Answer

Modifier -KX is used to attest that the coverage criteria specified in an applicable Medicare Local Coverage Determination (LCD) have been met.

Question 3

Which ophthalmology code type describes a complete eye examination including history, general medical observation, and basic sensorimotor examination?

Accepted Answer

Comprehensive ophthalmological service

Answer

A comprehensive ophthalmological service includes a complete history, general medical observation, external and ophthalmoscopic examination, and basic sensorimotor testing.

Question 4

In dialysis coding, which code describes the outpatient End Stage Renal Disease (ESRD) monthly capitation payment for an adult patient?

Accepted Answer

90951–90962

Answer

ESRD monthly capitation payment codes 90951–90962 are used for patients receiving dialysis services, stratified by age and number of physician visits per month.

Question 5

Which modifier is appended by the facility (not the physician) when a procedure is discontinued after anesthesia induction but before the surgical incision?

Accepted Answer

-74

Answer

Modifier -74 is used by the outpatient facility when a procedure is discontinued after anesthesia administration due to extenuating circumstances.

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder Practice Test

CPC Medicine Section and Modifiers 3