CPC Medicine Section and Modifiers

Question 1

Which CPT code range covers the Medicine section?

Accepted Answer

90000–99799

Answer

The Medicine section of CPT includes codes 90000–99799, covering immunizations, infusions, psychiatry, ophthalmology, and other medical services.

Question 2

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?

Accepted Answer

-57

Answer

Modifier -57 indicates the E/M service resulted in the initial decision to perform a major surgery (90-day global period).

Question 3

Which modifier is used to indicate that an E/M service was significant and separately identifiable from another procedure on the same day?

Accepted Answer

-25

Answer

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.

Question 4

How should a physician report drug administration by intravenous infusion lasting 2 hours and 15 minutes?

Accepted Answer

Initial hour code plus two additional hour codes

Answer

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.

Question 5

Which code category covers therapeutic drug monitoring services in the Medicine section?

Accepted Answer

Hydration, Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (96360–96379)

Answer

IV infusions and therapeutic injections are reported using codes 96360–96379, which cover chemotherapy and non-chemotherapy infusions and injections.

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder Practice Test

CPC Medicine Section and Modifiers