CodingQuestion 10 of 100
A modifier appended to a CPT code is used to:
a.Change the fundamental definition of the procedure code
b.Replace the diagnosis code on the claim
c.Indicate that a service was altered by a specific circumstance without changing the code's core meaning
d.Signal that the claim is being submitted late
Explanation
Modifiers are two-character codes that provide additional information about a service, such as that a procedure was bilateral, was reduced, or was performed by more than one provider, without redefining the procedure itself. Correct modifier use supports clean claims and appropriate reimbursement. Omitting a needed modifier is a frequent cause of denials.
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Related questions on this topic
- The Current Procedural Terminology (CPT) code set is divided into three categories. Category I codes primarily describe:
- CPT Category III codes are best described as:
- HCPCS Level II codes are chiefly used to report:
- Modifier 26 is appended to a diagnostic service to indicate that only the:
- Modifier 25 is most appropriately used to report:
- Three key components historically used to determine the level of an evaluation and management (E/M) service are:
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