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Details

Medical Billing Chapter 3, Set 3
The Codes (CPT, HCPCS, ICD-9, Modifiers) Michelle M. Rimmer
30
Medical
Professional
03/23/2011

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Cards

Term
-58
Definition
Modifier for a staged or related procedure of service by the same physician during the postoperative period--used when a less extensive procedure fails and a more extensive one is required
Term
-59
Definition
Modifier for distinct procedural service--used when a procedure needs to be separate from other services performed the same day
Term
-62
Definition
Modifier for two surgeons (co-surgery)
Term
-66
Definition
Modifier for surgical team
Term
Copy of operative report
Definition
What do claims with modifier -66 need to be processed?
Term
-73
Definition
Discontinued outpatient hospital/ambulatory surgery center procedure prior to the administration of anesthesia modifier
Term
ambulatory surgery center
Definition
What does ASC stand for?
Term
-74
Definition
Modifier for discontinued outpatient hospital/ASC procedure after administration of anesthesia
Term
-76
Definition
Modifier for repeat procedure by same physicain--used on CMS 1500 forms
Term
-77
Definition
Modifer for repeat procedure by another physican--used on CMS 1500 forms
Term
-78
Definition
Modifier for return to operating room for a related procedure during the postoperative period
Term
-79
Definition
Modifier for unrelated procedure or service by the same physican during the postoperative period
Term
-80
Definition
Modifier for Assitant surgeon
Term
-82
Definition
Modifier for assistant surgeon when qualified resident surgeon is not available in a teaching setting
Term
-90
Definition
Modifier for reference outside laboratory
Term
-91
Definition
modifier for repeat clinical diagnostic lab test performed on same day to obtain subsequent reportable test values--used to report separate specimens taken at a separate encounter
Term
-99
Definition
Modifier used when more than four modifiers are needed on aline of service--report this modifier first before listing others
Term
Multi-Carrier System
Definition
Wat does MCS stand for?
Term
health professional shortage area
Definition
What does HPSA stand for?
Term
AA
Definition
HCPCS modifier for anesthesia personally furnished by an anesthesiologist
Term
AS
Definition
HCPCS modifier for physician assistant, nurse practitioner, or clinical nurse specialist service for assistant at surgery
Term
CB
Definition
HCPCS modifer used for services ordered by a dialysis-facility physican as part of the ESRD beneficiary's dialysis benefit and which is not part of a composite rate
Term
epoetin alfa
Definition
What does EPO stand for?
Term
E1
Definition
HCPCS modifier for upper left eyelid
Term
E2
Definition
HCPCS modifier for lower left eyelid
Term
E3
Definition
HCPCS modifier for upper right eyelid
Term
E4
Definition
HCPCS modifier for lower right eyelid
Term
FA
Definition
HCPCS modifier for left hand thumb
Term
F1
Definition
HCPCS modifier for left hand second digit
Term
F2
Definition
HCPCS modifier for left hand, third digit
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