Modifiers Flashcards

1
Q

22

A

increased procedural services

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2
Q

Modifier 23

A

unusual anesthesia

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3
Q

Mod 24

A

unrelated E/M service by same physician (or other qualified healthcare professional) during post-op period

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4
Q

Mod 25

A

significant, separately identifiable E/M service by same physician (or other qualified healthcare professional) on same day of the procedure or other service

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5
Q

26

A

professional component

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6
Q

32

A

mandated services

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7
Q

33

A

preventive services

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8
Q

Mod 47

A

anesthesia by surgeon

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9
Q

50

A

bilateral procedure

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10
Q

51

A

multiple procedures

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11
Q

52

A

reduced services

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12
Q

53

A

discontinued procedure

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13
Q

54

A

surgical care only

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14
Q

55

A

POST-op management only

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15
Q

56

A

PRE-op management only

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16
Q

57

A

decision for surgery

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17
Q

58

A

staged or related procedure/service by same physician (or other qualified healthcare professional) during post-op period

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18
Q

59

A

distinct procedural service

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19
Q

62

A

2 surgeons

20
Q

63

A

procedure performed on infants less than 4 kg

21
Q

66

A

surgical team

22
Q

76

A

repeat procedure/service by SAME physician (or other qualified healthcare professional)

23
Q

77

A

repeat procedure/service by OTHER physician (or other qualified healthcare professional)

24
Q

78

A

UNPLANNED RETURN to OR by same physician (or other qualified healthcare professional) after initial procedure for a RELATED procedure during post-op period

25
Q

79

A

UNRELATED procedure/service by same physician (or other qualified healthcare professional) during post-op period

26
Q

80

A

assistant surgeon

27
Q

81

A

minimum assistant surgeon

28
Q

82

A

assistant surgeon (when qualified resident surgeon not available)

29
Q

90

A

reference (outside) laboratory

30
Q

91

A

repeat clinical diagnostic laboratory testing

31
Q

92

A

alternative laboratory platform testing

32
Q

95

A

synchronous telemedicine service via real-time audio/video system

33
Q

96

A

habilitative services

34
Q

97

A

REhabilitative services

35
Q

99

A

multiple modifiers

36
Q

P1

A

normal healthy patient

37
Q

P2

A

patient with mild systemic disease

38
Q

P3

A

patient with severe systemic disease

39
Q

P4

A

patient with severe systemic disease that is constant threat to life

40
Q

P5

A

moribund patient not expected to survive without procedure

41
Q

P6

A

brain-dead patient whose organs are being removed for donation

42
Q

LC

A

left circumflex coronary artery

43
Q

LD

A

left anterior descending coronary artery

44
Q

LM

A

left main coronary artery

45
Q

RC

A

right coronary artery

46
Q

RI

A

Ramus intermedius coronary artery