COBGC Modifiers and Special Billing Flashcards
6 cards from real COBGC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 COBGC Modifiers and Special Billing flashcards as text
Which modifier is appended to indicate the physician provided only the intrapartum (delivery) portion of obstetric care?
Answer: Modifier 54
Modifier 54 indicates surgical (delivery) care only was provided, without antepartum or postpartum management.
Which modifier indicates that only postpartum care was provided by the reporting physician?
Answer: Modifier 55
Modifier 55 is appended when the reporting physician provided only postpartum follow-up and did not perform the delivery.
Modifier 22 is used when a procedure requires what additional condition?
Answer: Substantially more work than described by the CPT code
Modifier 22 indicates the procedure required substantially increased effort, supporting additional reimbursement with supporting documentation.
Which modifier indicates a procedure was performed on the left side only?
Answer: Modifier LT
HCPCS modifier LT (Left Side) indicates a bilateral procedure was performed on the left side only.
When a second surgical procedure is performed during the same operative session, which modifier is typically appended to the secondary procedure?
Answer: Modifier 51
Modifier 51 indicates multiple procedures performed during the same surgical session, triggering reduced payment for secondary procedures.
Which modifier indicates a service or procedure is distinct and independent from other services performed on the same day?
Answer: Modifier 59
Modifier 59 identifies a procedure as distinct or independent from other services on the same date, often used to bypass NCCI bundle edits.