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| 6007826541 | modifiers | These are appended to the CPT code to provide more information. | 0 | |
| 6007826542 | increase payment, decrease payment, prevent denial | By appending the modifier, it may ______, _____, or _____. | 1 | |
| 6007826543 | appendix a, hcpcs level ii | Modifiers are located in ______ and ____. | 2 | |
| 6007826544 | F, metacarpals | ____ modifiers are reserved for digits of hand, not ______. | 3 | |
| 6007826545 | T, metatarsals | ____ modifiers are reserved for digits of foot, not ______. | 4 | |
| 6007826546 | P1 | Normal healthy patient | 5 | |
| 6007826547 | P2 | Patient with mild systemic disease | 6 | |
| 6007826548 | P3 | Patient with severe systemic disease | 7 | |
| 6007826549 | P4 | Patient with severe systemic disease that is constant threat to life | 8 | |
| 6007826550 | P5 | Moribund patient who is not expected to survive without the operation. | 9 | |
| 6007826551 | P6 | Declared brain-dead patient whose organs are being removed for donor purposes. | 10 | |
| 6007826552 | P | ____ codes are anesthesia specific CPT modifiers | 11 | |
| 6007826553 | 52 | Hospitals are instructed to use this modifier if a procedure with no planned anesthesia was discontinued. | 12 | |
| 6007826554 | 33 | Modifier for preventative services | 13 | |
| 6007826555 | genetic testing code modifiers | Appendix I provides _____. | 14 | |
| 6007826556 | 50 | Modifier for service performed bilaterally | 15 | |
| 6007826557 | RT | Modifier for right side | 16 | |
| 6007826558 | physician, anesthesia, hospital, level II | What are the four sections of modifiers used for CPT? | 17 | |
| 6007826559 | 51 | Modifier for multiple procedures. | 18 | |
| 6007826560 | unlisted codes | Modifiers should not be appended to ____ | 19 | |
| 6007826561 | 22 | This modifier (increased procedural services) is reported to identify that the service provided was greater than that usually required for a procedure. | 20 | |
| 6007826562 | 23 | This modifier (unusual anesthesia) may be reported in circumstances when local or no anesthesia is normally needed but general anesthesia is required. | 21 | |
| 6007826563 | 24 | What is the modifier for unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period. | 22 | |
| 6007826564 | original procedure, unrelated | When applying modifier 24 (unrelated e/m by same physician during postop period), the e/m service is provided by same physician who performed _____. The e/m service must be ____ to condition for which the original procedure was performed. | 23 | |
| 6007826565 | 25 | What is the modifier for a significant, separately identifiable e/m by same physician on same day of procedure or other service? | 24 | |
| 6007826566 | significant, separately identifiable procedure, different diagnoses, e/m code | Modifier 25 (significant, separate e/m by same physician on same day) should be reported with a minor procedure when _____ is performed. _______ are not required for reporting. Also, modifier is appended only to _____. | 25 | |
| 6007826567 | 26 | This modifier is reported in circumstances where a procedure includes both a professional and technical component and the professional component needs to be reported separately. | 26 | |
| 6007826568 | 32, second opinion consultation | This modifier (mandated services) is reported when someone mandates a service. Most often reported when a patient is sent for a _____. | 27 | |
| 6007826569 | 33 | This modifier (preventative services) is reported to identify delivery of evidence based preventive service identified in US preventive service mandates. | 28 | |
| 6007826570 | 47, anesthesia codes | This modifier (anesthesia by surgeon) may be reported to indicate that the surgeon provided regional or general anesthesia for surgical procedure. Should not be reported with ______. | 29 | |
| 6007826571 | 50 | This modifier is reported to identify bilateral procedures. | 30 | |
| 6007826572 | 51 | This modifier (multiple procedures) may be reported to identify that multiple procedures were performed on the same day or during the same operative episode. | 31 | |
| 6007826573 | major, most resource intensive, subsequent | When reported modifier 51 (multiple procedures), the first procedure listed should identify the _____ or _____ procedure. _____ procedures should be appended with 51. | 32 | |
| 6007826574 | 52 | This modifier (reduced services) may be reported to indicate that a service is partially reduced or eliminated at the discretion of the physician. | 33 | |
| 6007826575 | 53 | This modifier (discontinued procedure) is appropriate in circumstances where the physician elects to terminate or discontinue a procedure usually because of risk to patient. | 34 | |
| 6007826576 | elective | Modifier 53 (discontinued procedure) should not be used to report ____ of procedure. | 35 | |
| 6007826577 | hospital reporting, 73, 74 | Modifier 53 (discontinued procedure ) is not used for ______. Instead ____ and _____ are used. | 36 | |
| 6007826578 | 54 | This modifier (surgical care only) may be reported to indicate that one physician performed the surgical procedure and another provided preop and postop care. | 37 | |
| 6007826579 | 55 | This modifier (postop management only) may be reported to identify that the physician provided only post op care. | 38 | |
| 6007826580 | 56 | This modifier (preop management only) may be reported to indicate that the physician provided only preop care. | 39 | |
| 6007826581 | 57, e/m code | This modifier (decision for surgery) may be reported when an e/m service resulted in the decision to perform surgery. Reported only with _____. | 40 | |
| 6007826582 | 58 | This modifier (staged/related procedure by same physician during postop period) may be reported to indicate that a stage/related procedure performed by the same physician is provided during the postop period. | 41 | |
| 6007826583 | 59 | This modifier (distinct procedural service) may be used to identify that a procedure was distinct or independent from other services provided on the same day. | 42 | |
| 6007826584 | reported together, usually are not, different, separate, not ordinarily | When applying modifier 59 (distinct procedural service), it is useful when circumstances require that that certain procedures be ____ even though they _____. The use of this modifier signifies _____ or _____ sessions, procedures, sites, conditions _____ encountered or performed on same day by same physician. | 43 | |
| 6007826585 | 62 | This modifier may be reported to identify that two surgeons were required to perform a particular procedure. | 44 | |
| 6007826586 | both physicians, appropriate procedure code | For modifier 62 (two surgeons), _____ must report, along with ______, on their individual claim to ensure they are reimbursed. | 45 | |
| 6007826587 | 63 | This modifier is used to report procedures performed on neonates and infants up to a body weight of 4 kg. | 46 | |
| 6007826588 | surgery | Modifier 63 (procedure performed on infants less than 4kg) is intended for use only with _____ codes. | 47 | |
| 6007826589 | 66 | This modifier (surgical team) may be reported to identify a complex procedure performed by a team of physicians or other qualified health care professionals, etc. | 48 | |
| 6007826590 | 76 | This modifier may be reported to identify a procedure that was repeated by the physician who performed the original procedure. | 49 | |
| 6007826591 | e/m | Modifier 76 & 77 (repeat procedure or service by same - or another - physician or other qualified health care professional) should not be appended to _____ services. | 50 | |
| 6007826592 | 77 | This modifier may be reported to identify a procedure that was repeated by a physician other than the one who performed the original procedure. | 51 | |
| 6007826593 | 78 | This modifier may be used to report a related procedure performed by the same physician/health care professional during the postoperative period of the initial procedure. | 52 | |
| 6007826594 | 79 | This modifier may be used to report an unrelated procedure performed by the same physician/health care professional during the postoperative period of the initial procedure. | 53 | |
| 6007826595 | 80 | This modifier may be reported to indicate that the physician provided surgical assistance for a particular procedure. | 54 | |
| 6007826596 | assists another physician, procedure, modifier | For modifier 80 (assistant surgeon), the surgeon who _____ reports the code for _____ along with _____. | 55 | |
| 6007826597 | 81 | This modifier may be reported to indicate that a physician provided minimal surgical assistance when the surgeon's presence typically is not required throughout the entire procedure. | 56 | |
| 6007826598 | 82 | This modifier may be reported when a physician provides surgical assistance to another surgeon and a resident surgeon is unavailable. | 57 | |
| 6007826599 | 90 | This modifier is used widely for laboratory and pathology services; it indicates that the physician does not perform the actual test or service, but instead sends specimens to an reference (outside) library. | 58 | |
| 6007826600 | 91 | This modifier (repeat clinical diagnostic lab test) may be used for laboratory tests performed more than once on the same day on the same patient. | 59 | |
| 6007826601 | confirm initial results, testing problems, normal one time reportable result | For modifier 91 (repeat clinical diagnostic lab test), the modifier may not be used when tests are rerun either to ______ because of _____ or for any other reason when a _______ is all that is required. | 60 | |
| 6007826602 | 92 | This modifier (alternative lab platform testing) is used to indicate that lab testing is being performed using a kit or transportable instrument that wholly or in part consists of a single use, disposable analytical chamber. | 61 |
