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Billing, Coding & Insurance

CMA Flashcards · 50 cards

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Question

A medical assistant is coding an office visit where the physician performed a procedure that required significantly more work than usual due to the patient's complex condition. Which CPT modifier should be appended?

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Answer
A.Modifier -22
B.Modifier -25
C.Modifier -51
D.Modifier -59
Modifier -22 indicates increased procedural services beyond what is typically required. Modifier -25 is used for a significant, separately identifiable E/M service on the same day as a procedure. Modifier -59 identifies a distinct procedural service, and Modifier -51 indicates multiple procedures performed at the same session.