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WorksheetsModifiers 24, 25 and 57
Total questions: 10
Worksheet time: 5mins
A modifier gives you the ability to indicate that a service or procedure that was performed has been altered but does not change the definition of the code.
True
False
Which set of modifiers are allowed to be used on Evaluation and Management (E/M) services?
22, 23, 26
24, 25, 57
26, TC, RT
76, 77, 79
Modifier 25 should be used when you are:
Billing for an unrelated E/M service by the same physician during the postoperative period of a surgical procedure
Billing for a significant, separately identifiable E/M service by the same physician on the same day as a global surgery procedure
Billing for an E/M when the decision is made to perform a major surgery in the global period
Bill on new patient visits only
Modifier 24 should be used when you are:
Billing for a significant, separately identifiable E/M service by the same physician on the same day as a global surgery procedure
Billing for an unrelated E/M service by the same physician during the postoperative period of a surgical procedure
Bill on established patient visits only
Billing for an E/M when the decision is made to perform a major surgery in the global period
Modifier 57 should be used when you are:
Billing for an E/M when the decision is made to perform a major surgery in the global period
Should always be used on all E/M services
Billing for a significant, separately identifiable E/M service by the same physician on the same day as a global surgery procedure
Billing for an unrelated E/M service by the same physician during the postoperative period of a surgical procedure
The patient had surgery with a 10-day aftercare period and comes in for surgical complications or infection, you can utilize a modifier 24 to be paid for the E/M service?
True
False
When billing for a significant, separately identifiable E/M service that is above and beyond the usual pre- and post-operative work of a procedure. You are not required to provide a different diagnosis.
True
False
Modifier 57 would be the appropriate modifier to use on an E/M service the same day as the decision to perform minor surgery was made.
True
False
When you have an E/M visit that occurs on the same day as a surgery with zero (0) global days and also in the aftercare of another surgical procedure and the E/M visit is separate and distinct from the service on the same day and unrelated to the original surgery, what modifiers are appropriate?
Modifier 25 only
Modifiers 25, 57
Modifiers 24, 25
Modifier 24 only
You may use Modifier 57 for reporting preplanned or prescheduled surgeries, or if the surgical procedure indicates performance in multiple sessions or stages.
True
False
