CPT Modifiers & Special Coding Situations Flashcards
6 cards from real CPC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CPT Modifiers & Special Coding Situations flashcards as text
What is the global surgery package period for a major surgical procedure?
Answer: 90 days
Major surgical procedures have a 90-day global period that includes all normal post-operative care before and after the surgery.
Modifier -79 is used to identify a procedure performed during the post-operative period that is:
Answer: Unrelated to the original procedure
Modifier -79 indicates an unrelated procedure or service performed by the same physician during the post-operative period.
When a procedure is performed a second time by the same physician due to a complication, which modifier is used?
Answer: -76
Modifier -76 is used when the same physician repeats a procedure or service on the same day or during the post-operative period.
Modifier -22 is used when a procedure requires:
Answer: Substantially more work than typically required
Modifier -22 indicates unusual procedural services where the work is substantially greater than typically required, and additional documentation must support the modifier.
The -RT and -LT modifiers are used to indicate:
Answer: Right side and left side of the body
Modifiers -RT and -LT indicate the right and left sides of the body respectively, used for procedures performed on paired anatomical structures.
Which modifier indicates that a procedure was performed by an assistant surgeon?
Answer: -80
Modifier -80 indicates assistant surgeon services; the assistant surgeon appends this to the primary procedure code.