COBGC COBGC Modifiers and Special Billing

Question 1

Which modifier is appended to indicate the physician provided only the intrapartum (delivery) portion of obstetric care?

Accepted Answer

Modifier 54

Answer

Modifier 54 indicates surgical (delivery) care only was provided, without antepartum or postpartum management.

Question 2

Which modifier indicates that only postpartum care was provided by the reporting physician?

Accepted Answer

Modifier 55

Answer

Modifier 55 is appended when the reporting physician provided only postpartum follow-up and did not perform the delivery.

Question 3

Modifier 22 is used when a procedure requires what additional condition?

Accepted Answer

Substantially more work than described by the CPT code

Answer

Modifier 22 indicates the procedure required substantially increased effort, supporting additional reimbursement with supporting documentation.

Question 4

Which modifier indicates a procedure was performed on the left side only?

Accepted Answer

Modifier LT

Answer

HCPCS modifier LT (Left Side) indicates a bilateral procedure was performed on the left side only.

Question 5

When a second surgical procedure is performed during the same operative session, which modifier is typically appended to the secondary procedure?

Accepted Answer

Modifier 51

Answer

Modifier 51 indicates multiple procedures performed during the same surgical session, triggering reduced payment for secondary procedures.

(COBGC) Certified Obstetrics Gynecology Coder Practice Test