CPC Medicine Section and Modifiers 1 — Questions and Answers
Question 1: Which CPT code range covers the Medicine section?
- 90000–99799 (Correct answer)
- 80000–89999
- 70000–79999
- 00100–01999
Correct answer: 90000–99799
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?
- -57 (Correct answer)
- -25
- -24
- -32
Correct answer: -57
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?
- -25 (Correct answer)
- -57
- -59
- -24
Correct answer: -25
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?
- Initial hour code plus two additional hour codes (Correct answer)
- Initial hour code plus one additional hour code
- A single code covering up to 3 hours
- Initial hour code plus a partial-hour additional code
Correct answer: Initial hour code plus two additional hour codes
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?
- Hydration, Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (96360–96379) (Correct answer)
- Immunization Administration (90460–90474)
- Psychiatry (90785–90899)
- Physical Medicine (97010–97799)
Correct answer: Hydration, Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (96360–96379)
IV infusions and therapeutic injections are reported using codes 96360–96379, which cover chemotherapy and non-chemotherapy infusions and injections.
Question 6: Which modifier indicates a service was mandated by a government, legislative, or regulatory authority?
- -32 (Correct answer)
- -33
- -99
- -GA
Correct answer: -32
Modifier -32 is used when a service is mandated by a payer, government, or regulatory requirement such as a court-ordered examination.
CPC Medicine Section and Modifiers 1
Which CPT code range covers the Medicine section?