COBGC COBGC Modifiers and Special Billing

Question 1

Which modifier is appended to indicate the physician provided only the intrapartum (delivery) portion of obstetric care?

Accepted Answer

Modifier 54

Answer

Modifier 55

Answer

Modifier 56

Answer

Modifier 22

Question 2

Which modifier indicates that only postpartum care was provided by the reporting physician?

Accepted Answer

Modifier 55

Answer

Modifier 54

Answer

Modifier 56

Answer

Modifier 79

Question 3

Modifier 22 is used when a procedure requires what additional condition?

Accepted Answer

Substantially more work than described by the CPT code

Answer

A different performing provider

Answer

The procedure is bilateral

Answer

The procedure was unplanned

Question 4

Which modifier indicates a procedure was performed on the left side only?

Accepted Answer

Modifier LT

Answer

Modifier 50

Answer

Modifier RT

Answer

Modifier 51

Question 5

When a second surgical procedure is performed during the same operative session, which modifier is typically appended to the secondary procedure?

Accepted Answer

Modifier 51

Answer

Modifier 59

Answer

Modifier 22

Answer

Modifier 80

Question 6

Which modifier indicates a service or procedure is distinct and independent from other services performed on the same day?

Accepted Answer

Modifier 59

Answer

Modifier 91

Answer

Modifier 57

Answer

Modifier 25