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Medical Coding Quiz

Coding Modifiers 5

Objective: Answer 7 out of 10 questions correctly. Click on Refresh or Reload to start Over. JavaScript required! 


1. Modifiers -73 and -74 are most appropriate in:

 Inpatient Hospital only.
 Home Health.
 Outpatient Hospital and Ambulatory Surgery Centers (ASC)
 Emergency Room services.

2.   What is the correct order of the following three modifiers:-54, -55, -56.

 Surgery care only, Post-Op, Pre-op`
 Pre-op, Surgery, Post-op.
 Pre-op, Post-op, Surgery.
 Decision for surgery, Pre-op, Post-op.

3. Distinct Procedural Services, modifier _____ is:

-59, Only used on surgical procedure codes.
-59, Only used to specify separate incision on an existing site.
-59, Only used surgeons are involved.  
None of the Above. 

4. Modifier -62, _________ is used: 

Two surgeons, two are primary.
Surgical team, one primary and one assistant surgeon.
Repeat procedure by same physician, same procedure billed.
Assistant surgeon, assistant is available for the entire operation.

5. The reason you used modifiers -76, -77 is to:

Explain why the patient returned to the operating room during the post-operative period.
Comply with CMS compliance guidelines.
Only to supply information, reimbursement will not be affected.
Explain why a procedure was duplicated, usually with a report, so you will be reimbursed appropriately.

6. When using modifier -80, assistant surgeon, the primary surgeon must use modifier:

Modifier -81.
Modifier -66.
Modifier -62.
No modifier is necessary for the primary surgeon.

7. The main difference between modifier -80 and modifier -81 is:

  The board certification of the assistant surgeon.
Amount of time the assistant surgeon spends in the Operating Room.
-81 is used to indicate the primary surgeon and -80 is for the assistant.
-80 is used for the primary surgeon, -81 for the assistant.

8. Billing mistakes because the appropriate "outside reference lab" modifier was not used, could:

Be corrected if modifier -91 is used.
Cause confusion but will not affect reimbursement.
Trigger a Medicare audit for Medicare patients.
 Easily be corrected using modifier -92.

9. Modifier _______, Repeat Clinical Diagnostic Laboratory Test _________:

-90, is used when there are testing problems with either the specimen or equipment.
-91, is used only when it is necessary to obtain subsequent (multiple) reading of a test on the same day.
-90, is used only the it is necessary to obtain subsequent (multiple) reading of a test on the same day.
-91, is used when there are testing problems with either the specimen or equipment.

10.  Which one below is the best example of correct use of modifier -99?:
 43502-52,  43502-80, 43502-99
  43502-80-52-99
 43502, 09980, 09952, 09999
All the answers above are acceptable. 

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